HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED// --
Date: /ten "�D—L9 Permit Number: I, ° 00 q �7 _ b l I
SCANNED
BY
St. Lucie county RECEIVED
Building Permit Application JUN 10 2019
Planning and Development Services
Building and Code Regulation Division . �ParSt. Luclng o Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8 ALTA LOMA
Legal Description:. SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 27' Back: 15' Right Side: 14' Left Side: 15'
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
MOBILE HOME REPLACEMENT::SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
Z✓ HVAC LjGas Tank
ZElectric ❑✓_ Plumbing
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ $58,000
Piping UShutters zWindows/Doors.
nklers 11 Generator U Roof
_ Sq. Ft. of First Floor: 2,108
Utilities: Sewer ESeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne. Development Corp.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 South US Hwy. 1 Suite 402
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
K
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: an comnutnve.
Address:
City: swan State: FL.
Zip:'34seg Phone: (772)287-e258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name•
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Court makes no representation that is granting a permit will authorize:the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home.Owners Association and review your deed for any restrictions which may apply.
In considerationof the granting of this requested permit, I do hereby agree that will; in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO.OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your. property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain' financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
—Signature of Owner/
s . .
Signature of Con rac or/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTYOF ST.IwcrF I COUNTYOF C-r t-mcrc
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3c2 day of M t_- l 20 Lby this 33 day of M &q :J 20 _LI by
MAr1WF.) G Yt-E wyNNE MATINEW LY(-F bjyv,4-&
(Name of person acknowledging) (Name of person acknowledging)
Qj'� 0 , . 6"t'
(Signature of NoQJ Public-Stateof Florida )
Personally Known ✓ OR Produced Identification
Type of Identificat� mod,,,
Commission No.
Bolded
Revised 07/15/2014
(Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
GG030145 11 1 Commission
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