HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST
MnnUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �97ua
Date: a •,-21 IPermit Number 1 % 9 F'Ra
rd Ago
Is FEB 2.1 2020 .
Building Permit Application;LPermittirigDePlanning and DevelopmentServices partment
Building, and Code Regulation Division UCIe County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:. (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 22 AZUL _
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax lD #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks .'Front28' Back: 15'. Right Side: 13' Left Side: 13`
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH 1 1/2 GARAGES
NO SLAB WILL BE BUILT'OFF REAR OF HOME II
CONSTRUCTION INFORMATION:
Ha1JIL1U11d1 WU1KLV ue e11U1111eU U11Ye1 LL11]pe11111L—L11CL:Rd11 apply:
ZHVAC Gas Tank ❑Gas Piping _Shutters. Windows/boots.
�✓ Electric ❑✓ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484
Cost of Construction: 58,000 utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402'
Company: WYNNEDEVELOPMENT CORPORATION'
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: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRAOEN&BRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)297-8258
-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 representation that is granting a permit will authorize thedpermit holder 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 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 Owner/ Lessee/Agent
s
Signature. of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID/
COUNTY OF ST. Luc re COUNTY OF 5- (emu c�E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J 1 day of F 20 Eby this H day of �E73� 20 o'-b by
1W'a r'WH6w L ye- F N'11r'4 ,M477-96 0 LYGG 4 VV^'ry F
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida ) (Signature of Nota blic- State of Florida )
Personally Known _I OR Produced Identification Personally Known "� OR Produced Identification
Type of Identification Produced Type of Identification Produce
Commission No. BASKIN Commission No. ;;F pt;$ COROT YA BASKIN
"""'sL�DOROTH(S�'1� MY CON GG 030145
rib MY COMMI:A0Ni<GG 0301 55 :a+ EXPIRES: October2, 2020
Bonded Thn) Notary
Revised 07/
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