HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONP ORAO
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
arlr, 2 2.2o19
"p,mitting DePartment
Building Permit Application `',jecount,
Planning and Development Services SCANNED
Building and Code Regulation Division ��
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X St.l_ucieCOal
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 78 MEDITERRANEAN NORTH
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 31' Back: 21' Right Side: 15' Left Side: 16'
DETAILED DESCRIPTION OF WORK: III
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH /
ENCLOSED REAR SITTING ROOM / 1 GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Z✓ HVAC UGasTank
Z✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 2.108
Cost of Construction: $ $58,000
den I—uic6n all apply.
Gas Piping _Shutters .Windows/Doors
Sprinklers Generator Roof
S Ft. of First Floor: 2,108 .
Utilities:llSewer[]Septic 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: aradenaeracan
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 CownutAve.
Address:
City: Stuart State: FL.
Zip: 34996 Phone: (772)287-825e
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or antl 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 consideration of the granting of this requested permit, I do hereby agree that I 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
Commencing work or recording your Notice of Commencement.
_ Signature of 0 essee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST/ crr COUNTY OF S: •• km c, F
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -L#Iay of 'ru N E , 20 Llby I this Alay of --f—c4 .J F 20 f % by
M- A-rrwe—w LYce- NyNNc �YYl,47iNELJ L\1a t0Y1IJNC
(Name of person acknowledging) (Name of person acknowledging)
a,., 0" L&'Z2-""
(Signature of Not Public -State of Florida) (Signature of Notaryblic- State of Florida )
Personally Known I✓/OR Produced Identification Personally Known Vll� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. +''C�'•'ti'!"••, DOROTgIt MT BASKIN Commission No. AOIK•tY.1"••. DOROTHy§YDN �ASKIN
•? COMMI$$�-SIGN#GG030145 yCOMMIS I0N# G030145
... :�4 EXPIRES: October 2,2020EXPIRES: October 2,2020
Revised 07/
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