HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number. �005'd3 lr0
RECESVEp
Building Permit Application MAY 1 ����
Planning and Development Services ST. Lucie Count
Building and Code Regulation Division y, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial - Residential, X
PERMIT APPLICATION FOR: Building —SCR
PROPOSE IMRR'OVEMENT LOCATION;
Address: 17,RIO DE PALMAS
Legal Description: EAST 1/2 OF SECTION 1'- TOWNSHIP 34S - RANGE 39E
Property Tax ID'#: 1301-111-0001-000-5 .'
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Oro nt31' Back:22.3"
Right Side: 21'9" Left Side: 13'
Lot No.
Block No.
I, DETAILED DESCRIPTION OF WORK I
SINGLE FAMILY"RESIDENCE (replacement home) - 2 BEDROOM - 2 BATHS - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
HaaaionarworKtoDe errormea unaerimspermit— cnecKau apply:
ZHVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
ZElectric ❑✓_Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor. 2,108 '
Cost of Construction: 58,000 Utilities:11SewerElSeptic Building.Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE buiwiNGDEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1.- SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE .. State: FIL
Zip Code: 952: 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) 8784656
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: I
Name: BRADENBaRADEN
Address: 417cocoNuraVE.
City: STUART State: FL
Zip: 34996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:.
Name:
Address:
Zip: Phone:
[-certify that no work or installation has commenced prior to the issuance of a permit.
_Not
St. Lucie CountyY 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 accessoryuses 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 recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST , Iw c t N COUNTY OF Sr I .0 c t
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2�dayof W t±j 202uby this 7�ayof W" 2091,0 by
M tg rr.)y"-w CY [.05 W k/>v t t G y og7rwE-w Z.YLF %y.y tuc
(Name of person acknowledging) (Name of person. acknowledging)
a_t'016 Wr� /&"O
(Signature of Notar P blic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
EXPIRES:OotoberZ 2020
Revised 07/
(Signature of Notary, blic- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
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