HomeMy WebLinkAboutBuilding Permit Application ALt.APPLICABLE'IN6O MUST SE COMPLETED FOR APPLICATIONTO-BE•ACCEPTED
Date: Permit Number:
• �;��:�,a �.' ���j�'.
- Building-Perrnit•Application� ' OCT 2 8
PlaRili.�g und'06!elapment5ervices PE P,P/I ITl iN G
Building dnd Code Regulation Division
St. Lucie County, FL
23QQ Virginia,Avenue,fort"Pierce FL 34982
Phbiie:(772)462-1553''Fax:'(772)x#62-1578 Comme-0c, l Residehual•'X
PERMff APPLICATION FOR;' Other.
Y
'Address:'15•ANDALUSIA. • .
Legal Description: $ECTlbN 26/TOWNSHIP 365, RANGE 40e-
PpapertyTaX ID#: 341..4501-1701.-000%9 . Lot No.15 '
Site Plan Name: SPANISH'LAKES ONE Block No.'
Project%Nannie:
. 116 , 28,5„ ..• 12'•1 1'/2"
;Setbacks Fror►t.:_ Back: Right Slde:. Left Side:`
MIMI WER-9m 010.019MANNN
-DRIVEWAY- 76X12
2500:17S1:-.4"..T;HICkCiVESS
THt6A11VEVIfAY DOES NOT BUTT UP TO THE MOBILE'HOME
Additional won to- e e orme • under this permit--c ec 'aM-Shutters
appy:
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DHVAC. GasTaiik Gas Piping IDWindows/Doors
�J
EYectric _Plumbing Sprinklers Generator Roof
-Total Sq:Ft bf Construction: 912 S .'Ft.of
First Floor: .-
Cost'of.Construction: 1815:00 : ' Utilities: SewerSepttc building Height:
a
Name 'NNE BUILDING CORPO'RATION•.. Name:,MATTHE111 LYLE WYNNE .
Address•8000 SOUTH US..HWY::1`S.UITE_402 Gompahy:*YNNE DEVELOPMENT COFZPORATION
PORT ST. LUCIE State:FL Address; 8000 SOUTH US HWY. 1 SUITE 402
Zip Coder 34952. Fax:(772)87&7656 City: PORT ST.LUCIE State:FL
Phone No.(772).878-5513 Zip Code.-'34952 Fax: (772)878-7656
E-Maj[: Phone No. (772)878-5513
Fill in.fet sirnple,Title Bolder on next,page'(if:different E-Mail,:
frons the Owner listed above) State or County License:'8898
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required..
899-A LOO/LOOOd 9Z8-1 999L8L8ZLL 600 suiplino auuAM -WodA
9t:80 9L 1-83-0 L
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRAZEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: Fl. City: State:
Zip: 34996 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF ,_ LoGt', COUNTY OF 6L 1,11 te.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this c2�:day of Chj:�(:2 6e r 20 16 by this�day oftGC_ _k-3e k 20 h4 by
X��rt', E, 8tcD--r— /Aci� F,
(Name of person acknowledging) (Name of person acknowledging)
r
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification rsonally Known \/_ OR Produced Identification
Type of Identification Produc pe of Identification Produ
p Notary Public 8 O adtY A Notary Public State of Fbnda
Commission No. r�� g Budka L�
qg1�11 mmission No.���� K Wka
a ( y Cbmmission FF 978543 c M� fission FF 978543
Expires 05125/2020 '?�nolo Expires 05/25/2020
Revised 07/15/2014
II
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS