HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: an a0 Permit Number: 3C�0�'dG35
Building Permit Application
Planning and Development Services JAN 2 9 1-in
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucle County, Permlttin
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resident
PERMIT APPLICATION FOR: Building — S F
PROPOSED IMPROVEMENT LOCATION:
Address: 9 TOSCA
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 16'6" Back: 29' Right Side: 52' ^L�ft Side. 2
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - V BEDROOM - 4 1/2 BATH - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
itiona worK to e nerTormea under tispermit—c eck all apply:
rl
ZHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers 11 Generator Z Roof
Total Sq. Ft of Construction: 1,750
Cost of Construction: $ 58,000
S Ft. of First Floor: 1,750
UtilitiestSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: aRADENBaRAOEN
MORTGAGE COMPANY:
Name'
_ Not Applicable
Add reSS: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone:(772)287-825e
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA7
COUNTY OF Si cre COUNTY OF S°rl.ufwr'
The forgoing instru ent was acknowledged before me
this A7 day of 20 aD by
The forgoing instru ent was acknowledged before me
this77 dayof��20)o by
MA-t-r*e ') Lyc,c Wcw (y�F Lt1y,�wE
(Name of person acknowledging I (Name of person acknowledging )
(Signature of NotF0Public-State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 030145
<�?:'���•° 0ondeC Thru Notary Putlic Underwriters
Revised 07 ''^
11
(Signature of Nota V
ublic- State of Florida )
Personally Known `� OR Produced Identification
Type of Identification Produced
Commission
EXPIRES: October2, 2020
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