HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 3, O O I - O Say
LRECEIVED
Building Permit Applicatio2 4 202.0Planning and Development Services unty, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building - S V. f�, III
PROPOSED IMPROVEMENT LOCATION:
Address: 34 ALTA LOMA
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 20'6" Back: 18' Right Side: 12'6" Left Side: 12'6"
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATHS /
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Additional WorK to 15 e To e orme under tispermit—c ec a apply:
✓ZHVAC Gas Tank OGasPiping_Shutters QWindows/Doors
Z✓ Electric ❑✓_ Plumbing []Sprinkle Generator ✓Z Roof
Total Sq. Ft of Construction: 2.10E Sq. Ft. of First Floor: 2,108
Cost of Construction: $ $58,000 Utilities:Sewer El 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) 878-7656
Phone No. (772) 878-5513
E-Mail: ched@wynnebc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ched@wynnebc.com
State or County License: CGCO3599
It value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION': III
Name: Braden&Braden
Address: 417 Coconut Ave.
City: Stuart
Zip: 34996 .Phone: (772)287-825e
FEE SIMPLE TITLE HOLDER: Not
Name: _
Address:
City:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State: FL. City: State:
Zip: Phone:
BONDING
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not
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 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF snuciE
The forgoing instrum nt was acknowledged before me
this -Zrday of o 20 Eby
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru ent was acknowledged before me
this /� day of 20 .� by
MATTHEW LYLEANYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
( Xiv...n /C )Oc� j 0'a '
(Signature of No a Public -State of Florida) I (Signature of Not Public -State of Florida )
Personally Known X
Type of Identification P
Commission No.
Revised 07/1
OR Produced Identification
MY COMMISSION # GG 030145
Known x OR Produced Identification
Type of
Commission No. N' DOROTH &�!N''NI� ASKIN
YCOMMIS t6tJiF G 030145
EXPIRES: October 2, 2020
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SUPERVISOR
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MANGROVE
COUNTER
REVIEW
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REVIEW
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DATE
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INITIALS