HomeMy WebLinkAboutBuilding Permit Application,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 l 0.y � Permit Number: a13d 1 -05I�
Building Permit Application I JAN 2.4 2020
Planning and Development Services ST, Lucie County, Permittin
Building and Code Regulation Division g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building —e, FQ
I PROPOSED IMPROVEMENT LOCATION: I
Address: 67 EL CAMINO REAL
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 21' Back: 47' Right Side: 15' Left Side: 16'
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE.- 2 BEDROOM / 2 BATHS / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
ZHVAC OGasTank ❑Gas Piping UShutters Windows/Doors
U✓ Electric ❑✓_Plumbing ❑Sprinklers 1:1Generator 21 Roof
Total Sq. Ft of Construction: 2,108 ✓ S Ft. of First Floor: 2,108
Cost of Construction: $ $58,000 utilities: —1 Septic Building Height: _
OW N E RAESSE E:
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: che(@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: CGC03569
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
t
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: BradenBBraden
Address: 417 comnut Ave
City: Swart State: FL_
Zip: 34998 Phone: 1772I287-825e
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone: -
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 l 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sr wQE
The forgoing instrument was acknowledged before me
this -4Cday of 20 10by
STATE OF FLORIDA
COUNTY OF STLUQE
The forgoing instrument was acknowledged before me
this ��dayof20 derby
MATTHEW LYLE-WYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NCO ry Public- 'State of Florida ) I (Signature of Not Public- State of Florida )
Personally Known x
Type of Identification P.
Commission No.
Revised
OR Produced Identification
DOROTHY /tf'J f1,T5KIN
roommisSI G030145
EXPIRES: October 2, 2020
Personally Known x
Type of Identification F
Commission No.
OR Produced Identification
030145
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVI W
REVIEW
MIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
'
INITIALS