HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -S a,0 Permit Number:
Building Permit Applicatior
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
MAR 2 5 %n2Q
ST. Lucie County, Permitting
PERMIT APPLICATION FOR: Building - S F (Z I
PROPOSED IMPROVEMENT LOCATION:
Address: 21 VERDE VISTA
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 Front27' Back:34'
Right Side: 15'6" Left Side: 18'6"
Lot No.
Block No.
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:
itlona wor to e e orme under t—checkispermit a apply:
✓ZHVAC 11 Gas Tank Gas Piping fn Shutters Windows/Doors
Z✓ Electric 0 Plumbing ❑Sprinklers 11 Generator ✓� Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction: $ 58,000 Utilities:SewerSeptic 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: BRADENBBnAADEN
MORTGAGE COMPANY: _ Not Applicable
Name'
Add ress:417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
which is in con lictwith 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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF ST. Larue- COUNTYOF Sr I-u.ue
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'�J dayof ✓YIAMCC4-f .20 :0by I this-dayof 20a_o by
A f f l lc i t1 (-V LE o` rj N & M t4-7JW&_ J &VC.F GUt/mvi
(Name of person acknowledging) I (Name of person acknowledging)
te a.....,,- At Wn.r YJa"Z,'-
(Signature of NotO Public- State of Florida ) (Signature of NoWy Public- State of Florida )
Personally Known OR Produced Identification Personally Known k"' OR Produced Identification
Type of Identification Produced Type of Identificati rsdura
Commission No. o; �", �'•°Ya"•. COMMIS
BASKIN
f; DOROTH(fi�'�EASKIN Commission No. /+• P- MY COMMISl1fiBZil);G 030745
T} MY COMMISSION # GG 030145 11
;:'• 'r EXPIRES: October 2, 2020
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