HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE`` INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r �J
Date: \• `K• g J� �oc Permit Number:F___
RECEIVED
Building Permit Application
Planning and Development Services J'',N 14 2020
Building and Code Regulation Division [ST. Lucie County, Permittin2300 Virginia Avenue, Fort Pierce FL 34982g
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building I
I PROPOSED IMPROVEMENT LOCATION: I
Address: 13966 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 11'6" Back: 18' Right Side: 44' Left Side: 20'
DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATHS / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
MUUMUIld I Wu 16 LV Ue el I VfffleU Uf1UCI UII5 Pef R11L— L11eLK d u apply: I
Z✓HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors L
ZElectric ❑✓_Plumbing Sprinklers Generator ZRoof
Total Sq. Ft of Construction: 2,124 j// So. Ft. of First Floor: 2,124
Cost of Construction: $ 58,000 Utilities:Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: F2
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: 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: BRADENSBRAOEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: m212e7-825e
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and reviewyour 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
commencine work or recocdine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA v
COUNTYOF _( . kjj,cte COUNTY OF CT.Ii uccF
r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '- day of bfiC +I ben- , 20 I g by this 12Qjay of �l cGe , 20 19 by
WI14TTkrev CYC6 biy'jrNE gn_J-lew LVc.E NY/V1y
(Name of person acknowledging) (Name of person acknowledging )
(Signature of NotoV Public- State of Florida) (Signature of NoWy Public- State of Florida )
Personally Known OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No----":c 07HYaIIgFjSKIN Commissio f`1Qy''''•�
YANN BA I
MY COMMISSION#GG 030145 ,1'•, .' MY COMMISSION#GG 030[45
I=•: _ tobel2, 2020
I'--;� ' tpm Notary Public Un ervm q;F Bonded Th,u Notary Public Underwnle,
Revised 07/1
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