HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'J` a,Col d,d Permit Number: a.Cj03' (� qG
Building Permit Application -
Planning and Development Services MAR 2 5 2029
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentla _ _
PERMIT APPLICATION FOR: Building - S�: K III
PROPOSED IMPROVEMENT -LOCATION:
Address: 58 SILVER OAK
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front46' Back: 36'
Right Side: 14' Left Side: 16'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 1/2 BATHS / 2 CAR
GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
VIIGI VVUInwW
HVAC
IIUJIIICVulwcl ulu
Gas Tank ❑Gas
PCI Iu L—UICLR all
Piping
dpply.
Shutters Q
Windows/Doors
Electric
Z Plumbing []Sprinklers
❑
Generator W]
Roof
Total Sq. Ft of Construction: 2,485 S Ft. of First Floor: 2.485
Cost of Construction: $ $58,000 Utilities:]Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp. -
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
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: cheri@wynnebc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: cheri(,5wynnebc.com
State or County License: CGC03599
If value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BradenBBraden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 CownutAve.
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 apermit will authorize the ermit holder to build the subject structure
which is in conflictwith any applicable Home Owners Association rules, bylaws or an 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 vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The forgoing instrument was acknowledged before me
this 2 day of FYI .cYK c-H 20 Eby
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this �L_ day of M "LFi 20 d-u by
MATTHEW LYLE4NYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of N t Public -State of Florida) (Signature of Nota blic- State of Florida )
Personally Known x OR Produced Identification Personally Known x
Type of Identification Produced Type of Identification F
Commission No.
Revised
UORO"f HY ANN BASKIN
EXPIRES: October 2, 2020
Bonded Thru Notary Public Undervmtm
Commission No.
OR Produced Identification
1)0f$ 01J'ANN BASKIN
MY COMMISSION # GG 030145
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