HomeMy WebLinkAboutBuilding Permit Applicationc
i
0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: rP' % �%' i Permit Numb • 0 tP'
RECEIVE®
Refin Permit A licatio
b pp JUN I ff 2019
Planning and Development Services
Building and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 $ - Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial, IR Count r FL
PERMIT APPLICATION FOR: Building SCANNED
PROPOSED IMPROVEMENT LOCATION: BY
St. Lucie COOMY
Address: 1 DEL PPADO
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
PropertyTax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front20'3" Back: 207'
DETAILED DESCRIPTION OF WORK:
Right Side: 18'
Left Sider 18'
Lot No.
Block No.
MOBILE HOME REPLACEMENT:, SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE. BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Muwuondi WUFK w ae enurrneo unaer mi5 permrc- cnecK an apply: - I -
✓ZHVAC Gas Tank Gas Piping _ Shutters Windows/Doors L
Z✓ Electric ❑✓_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,124 S Ft. of First Floor: 2,124
Cost of Construction: $ $58,000 Utilities:Sewer 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) 87877656
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. �
;M
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: -,"=Not Applicable
Name: Braden&Braden
MORTGAGE.COMPANY.- .' ._Not Applicable
Name:.
Address:4+tcoWnutave.
Address:,
City: sivart State: FT. -
Zip: 3499e- Phone: (772)287-825e
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 County makes no representatioothat is granting a permit will authorize .the dpermitholder to' build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home,Owners Association and reviewyour deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will; in all respects; perform the work -
in -accordance with the approved plans, the Florida Building Codes and St. Lucie County. Ame ndments.
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 eecordin . our Notice of Commencement. .
_ Signature of Owner/ Lessee/Agent : - Signature ofContractr/LicenseHolder _
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S— , {. t 1 c tF COUNTY OF: S^,.. / 1t ctf
The forgoing instrument was acknowledged before me. The forgoing instrument was acknowledged before me
this
-30 day of . V✓I 120 1�by this 70day of M i4`'f ' 20 j 9 by
I A-trwir1 L`i r_ k)Yi yNir Ing7ThlE'w LYCF 1AJiYNNe
(Name of person acknowledging) (Name of person acknowledging) p
(Signature of No * Public -State of Florida) - - - (Signature of Not ry ublic- State of Florida) '
Personally Known L,"�OR Produced Identification .Personally Known .� OR Produced Identification
Type of Identification Produced s Type of Identific '
DOROTHYANN BASKIN
Commission No DOROTHYAt� KIN Commission No _ MYCOMMISSIOt($6M)30i45
"" MY COMMISSION#GG030145'11 4�f EXPIRES:October2, 2020
-c_ evoioCc n4b.he.99MR .e.,.., o.. pnMM Thm Nntary Public nndBnVldalS
Revised 07/fgTLOI�"`
REVIEWS -
FRONT "
ZONING
SUPERVISOR
PLANS
VEGETATION'
SEA TURTLE
MANGROVE -
COUNTER
REVIEW
REVIEW:
REVIEW
REVIEW
REVIEW -
REVIEW =.-
DATE.
COMPLETE
INITIALS