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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C tV61ETED FOR APPLICATION TO BE ACCEP d-r, Date: p9 It9•'� J `®CJ SCANNED Permit Number: iq�"� C BY St. Lucie County Building Permit Application RECEIVED Planning and Development Services LL Building and Code Regulation DivisionZ2300 Virginia Avenue, Fort Pierce FL 34982e Co ty, permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi PERMIT APPLICATION FOR: Other Address: 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 18' Back: 27'8" Right Side: 12' Left Side: 23'5" DETAILED DESCRIPTION OF WORK: REPLACEMENT MOBILE HOME: SET UP AND TIE DOWN TO CODE Lot No. Block No. CONSTRUCTION INFORMATION. - III onai worK iooe errormea unaer mis permit — cnecK. aii appry: HVAC Gas Tank E]Gas Piping Shutters Electric ❑✓_ Plumbing OSprinklers M Generator TotalSq. Ft of Construction: 1,560 Sq. Ft. of First Floor: 1,51 Cost of Construction: $ 12,480.00 Utilities: Ind Sewer Se1:1ptic ❑ Windows/Doors Roof Building Height: C WN ERAESSEE: CONTRACTOR: Name WYNNE BUILDING CORP. Name: ERIC WYNNE Address: 8000 SOUTH US HWY. 1 SUITE 402 Company: WYYNE 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: DIH1016128 - 29524 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRuiL-rrF3N LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: STEVE WOODS MORTGAGE COMPANY: X Not Applicable Name' Address: Address: City: State: Zip: Phone: (772)619-5saa City: State: Zip: Phone: . FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: X 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 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 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 vour Notice of Commencement. _Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The for Ding instrument was acknowledged before me this day of O C —1bd69C 20 LI-by STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of ©C-7D 66"7Z- 20 _L7 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notkdl Public- State of Florida) (Signature of No Public- State of Florida ) Personally Known ,-' OR Produced Identification Personally Known III OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. e:4 DORO'CIS�I.'� BASKIN 1 Commission No. ° .�DOROTHY KIN t MYCOMMISSION#GG030145 EI ';.1 MY COMMISSION# GG 030145 ,c EXPIRES: OdOSerl 2020 i,'+1 ".° FYPIPFS•n.,..w,..n .,,,�„ Revised 07 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS