HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 12=1��/� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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PERMIT APPLICATION FOR: Building III
I PROPOSED IMPROVEMENT LOCATION: I
Address: 3 REFORMA
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 22' Back: 27'10" Right Side: 17' Left Side: 13'
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 3 BEDROOM / 2 BATHS / 1 1/2 GARAGES
NO SLAB TO BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: I
HVAC L=J Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2,484
Cost of Construction: $ $58,000
jerma— cnecKall apply:
In
Gas Piping _Shutters Windows/Doors
Sprinklers 11 Generator Z Roof
S Ft. of First Floor: 2,484
Utilities:[]Sewer OSeptic
Building Height:
0 W N ER/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: cheri@wynnebc.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: cheri@wynnebc.com
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
MORTGAGE COMPANY: Not Applicable
Name: BredenBBraden
_
Name:
Address: 417 Coconut Ave.
Address:
City: Stuart State: FL.
City: State:
Zip:34996 Phone:In2I2STs258
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 bylaws and
rules, or 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
commencin work or recording our Notice of Commencement.
S
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF STLUCIE
The forgoing instrunrnt was acknowledged before me
this 3vdaJ ayof 20�by
The forgoing instru ant was acknowledged before me
this 3oday of�U20-1-0 by
MATTHEW LYLEJNYNNE
MATTHEW LYLE WYNNE
(Name of person acknowledging) �]
(Name of person acknowledging)
(Signature of Notaryblic- State of Florida)
(Signature of Nota Public- State of Florida )
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No
ROTHYA SKIN
Commission No.
;4", OROTHYA NBA KIN
MY COMMISSION # GG 030145
;t MY COMMISSION # GG 030145
C •a: CO of
h' Bonded Thry N��aryPublic Undenvdlers 1,oF•+ Bonded Thru Notary Public Undenvdfers
Revised 07/ [�3`iA--
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