HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3`�zo1aZt Permit Number: a�0 3-dG64�
RECEIVED
Building Permit Application MAR 2 5 2020
Planning and Development Services
Building and Cade Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982•
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building — S �zR III
I PROPOSED IMPROVEMENT LOCATION:
Address: 25 VILLA BLANCA
Legal Description: EAST 112 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 28' Back: 12' Right Side: 17' Left Side: 17,
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM -2 1/2 BATH -2 CAR GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
rtiona wor to e e orme under t—checkispermit a apply:
�✓ HVAC 11 Gas Tank []Gas Piping _ Shutters Z Windows/Doors
�✓ Electric 0 Plumbing Sprinklers Generator 21 Roof
Total Sq. Ft of Construction: 2,485
Cost of Construction: $ 58,000
S Ft. of First Floor: 2,485
Utilities:llSewer 11Septic 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: 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) 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' BRADENSBRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-8258
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ 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 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 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
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF I COUNTY OF S'r- kucrZ
The forgoing instrument was acknowledged before me
this ') dayof ✓Yl/tAtcW 20Eby
person
The forgoing instrument was acknowledged before me
this '� day of ill "C,G -/ , 20 -o by
f>4rywe-W GvC_'Z 60yN,vF
(Name of person acknowledging)
LQ,6.(JH'fiµl a/8a4-L L_6,i�D4k�, al� 61a— •
(Signature of No Public -State of Florida ) (Signature of Nota ublic-State of Florida)
Personally Known OR Produced Identification Personally Known '� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ••,B�'•• DOR ;'INNN BASKIN Commission No. �' • ""'• DOi 1��'ANN BASKIN
°F' MY COMMISSION 030145yy `*�
��;'ap�' MY COMMISSION 1iGG 030145
Bonded Thm Notary Public
Revised 07/
Bonder Thm Notary Public Undenvntem
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