HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �I
Date:- � 1'-.,..d Permit Number:
RECEIVED
Building Permit Applicatio JAN 2 4 ?070
Planning and Development Services
Building and Code Regulation Division 5T, 6uCleCounty, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building _5 F
PROPOSEDIMPROVEMENT LOCATION:
Address: 16 REFORMA
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front27' Back: Right Side: 18' Left Side:21'
I, DETAILED DESCRIPTION OF WORK:
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 1/2 BATHS / 2 CAR
GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
ZHVAC L Gas Tank
Z✓ Electric ✓❑_ Plumbing
Total Sq. Ft of Construction: ',voo
Cost of Construction: $ $58,000
Piping Shutters QWindows/Doors
_
nklers Generator Z✓ Roof
Sqq�� FFt�t.II of First Floor: 2.485
Utilities.2Sewer DSeptic BuildingHeight:
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) 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: III
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Braden S Braden Name:
Address: 417 Cownut Ave. Address:
City: Stuart State: FL City: State:
Zip: 34996Phone: (772)287-e2E8 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING
Name:
Address:
Zip: Phone:
_Not Applicable
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 considerationof 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
commencine work or recordine vour Notice of Commencement. _
s
_ Signature of Owner/ Lessee/Agent
Signature of Co ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LrvaE
The forgoing instt was acknowledged before me
this Zr day of 20 22 by
The forgoing instru ent was acknowledged before me
this A day of 20 -J--O by
MATTHEW LYLE4VYNNE
MATTHEW LYLE WYNNE
(Name of person acknowledging)/n�
(Name of p�ers.on� acknowledging)
)
Q
AWJA AW^h �/41M /l JGl�i�
_ r.�CJ�I.AJT��`-�.�/✓ Ytirr RJGq./G�
(Signature of No ry Public -'State of Florida)
(Signature of Notary blic- State of Florida
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identific io Produ�cerd
_
Commission No.
12•""'r9'••. DOROTHYA
Commission No. :+ fa; Nhl11N
DOR NN BASKIN
MMISS10P�1#v"GG Q6301d5
MYCOMMISSION#GG 030145
4�;Fe. �,a'? EXPIRES: Oct0ber2,2020
Revised 07/IS/2
,••�d Thm Nutary Puhlic Undervmters _.
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