HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \T a� Permit Number: 00
Building Permit Application JAN 2 8 '0?0
Planning and Development Services
Building and Code Regulation Division BT, LUcle County,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building — S V �, II
PROPOSED IMPROVEMENT LOCATION:
Address: 13981 ADELFA
Legal Description: 617 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front20'6" Back: 28'6"
DETAILED DESCRIPTION OF WORK:
Right Side: 16' LeftSide: 16'
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home): I BEDROOM / 1 1/2 BATHS / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
Z✓ HVAC L=JGasTank
ZElectric ✓❑_ Plumbing
Total Sq. Ft of Construction: 1.750
Cost of Construction: $ 58,000
3erma—cnecxau appry:
Gas Piping _ Shutters Z Windows/Doors
SprinklersGenerator ZRoof
S Ft. of First Floor: 1,750
Utilities:cnSewer OSeptic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
City: PORT Sr. LUCIE State: FIL
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) 87B-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: CGC03599
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: anAAIDEN&BRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-8258
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 thegermit 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
_ Signature of Owner/Lessee/Agent
s
Signature of Contractor/License Holder
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF Sr.'"cr1! I COUNTY OF SrAA.ccr
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this day of 20by thisdayof20a-o by
lMAZ7AlEW LYLF (AiYnNNE �Y%ArrYe .0 CYc.E iNY/v^r
(Name of person acknowledging) (Name of person acknowledging)
,1_0�A'0N SQL-„, ,C...U,a.�L� .Q�A e2� leaa-�
(Signature of Notaq Public -State of Florida) I (Signature of No Public- State of Florida )
Personally Known 11-l'OR Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised
--DOROTHYANN BASKIN
MY COMMISSION # GG 030145
UMenvnters
Commission
MY COMMISSION # GG 030145
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS