HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number.U2c_.5( - alar
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential %
PERMIT APPLICATION FOR: Building
PROPOSEQ IM;P,R`OVEMENT LOCATION:
Address: 6763 MAR PACIFICO
Legal Description: 6/7 34 38 all that part lying nertheaWrly at1-B5
Property Tax ID #: 1306 111-0001 000/0 Lot No.
Site Plan Name: SPANISH LAPSES FAIRWAYS Block No.
Project Name:
Setbacks .Front 3V Back: 23' Right Side: 16 Left Side: IV I
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement'homeOBEDROOM /BATHS / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTIONINFORMATION:
wor to e e orme un ert ispermit—c ec a apply:
jaMona
ZHVAC Gas Tank E]GasPiping _Shutters 717 Windows/Doors
Electric 0 Plumbing []Sprinklers ❑
Generator Roof
Total Sq. Ft of Construction: 2,108 % So. Ft. of First Floor: 2,108
Cost of Construction: $ 58;000 Utilities:Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
N a me WYNNE BUILDING CORP,
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY,1 SUITE 402
Company: WYYNE DEVELOPMENT CORP,
City: PORT ST, LUCIE State: FL
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
Zip Code: 34952 Fax: (772) 878-7656
E-Mail:
Phone No. (772) 87"513
Fill In fee simple Title Holder on next page (if different
E-Mail:
State or County License: C0003599
from the Owner listed above)
If value of construction is $2500'or more, a RECORDED Notice of Commencement. is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: aPADFN&BPAD=N
Name:
Address: 4vcocoNUTAve.
Address:
City: STUART State: FL
City: State:
Zip: 24996 Phone: (772)287+8259
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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
is in
which 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
commencing work or recording our Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent
Signature of Contracto /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. "c i ez
COUNTY OF ST- WC, e
The forgping instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this by
this 1ayof
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(Name of person acknowledging I
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OA. AXI' 00W lM4lk .
(Name of person acknowledging )
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(Signature of Not Public- State of Florida)
(Signature of Nota ublilic- State of Florida )
Personally Known OR Produced Identification
/
Personally Known 4OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.
Commission No. DOROTHY SKIN
,E MY COMMISSIONgGG 030145
,'�i ,= MYCOMMISSION#13030145
E PIRES:October2 2020
'c EXPIRES: 0ctoher2 2020
;;odd,g.' Bonded Thm Notary Public Underv+dters n ru Notarypublic Undenvnters
Revised 07/IS/2
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