HomeMy WebLinkAboutBuilding Permit ApplicationALL APPEICAPEE INFO MOT SE COMPLETEP FOR APPEICATI.UN TO SE ACCEPTED
Date: Permit J00! Number: " G �a
£ f
•
Building Permit. Application..
Planning and ,Development Services
Buildinig and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:., Building
PROPOSED IMiFR,OVEMENT LOCATION:
:Add ress: - 30.VISTA DE LAGUNA
Legal Description:. EAST 1/2.OF SECTION 1 TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.:
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front-25': Back: I V Right Side: 13' -Left-Side:- 53'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement -home) - 3 BEDROOM 2 BATHS -1 1/2-GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
itiona .wor to . e e or.me : under this -permit.— check a apply:
®HVAC Ej Gas Tank Gas Piping Shutters LIU Windows/Doors
Electric D Plumbing Sprinklers Generator Roof
Total Sq..Ft of Construction.: 2.,484 S . Ft. of First Floor: 2,484
Cost of Construction: $ 58,000 Utilities:
Sewer -Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE WILDING DEPARTMENT
Name: MATTH.EW LYLE WYNNE. .
Company: WYNNE DEVELOPMENT:CORPORATION
Address: 8000 SOUTH US HWY.1 -SUITE 402
Address:, 8000 SOUTH US HWY. 1 - SUITE 402
City: PORT ST LUCIE .. State: FL
Zip Code: 34952-... Fax: (7.72) 87&7656
City: PORT.ST.. LUCIE State: FL- .
Phone.No. (772):878-5518
Zip Code: 34952 Fax: (772) 878-7656
E-Mail:
Phone No.:(772) 878-5513
Fill in _fee simple Title Holder on next page (if. different
E-Mail:
from the Owner listed above)
State or County License: 08898
SUPPLEMENTAL CONSTRUCTION LIEN _LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable' MORTGAGE. COMPANY: _ Not Applicable
Name: BRADEN&BRADEN Name:
Add ress: 417 cocoNUTAVE. Address:
City:-STUART State: FL City: State:
Zip: 34996 Phone: (772)287-8258 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
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 l 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.pay"mg 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 Connr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL %.it c�F" COUNTY OF S— : Ce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before. me
this ay of %:'1 +'`ice/ 20 dOby this/ilay of M &:V - 20 � by
PIA-, Fw G �c Gyy,fN C
(Name of person acknowledging) (Name.of person. acknowledging)
le
(Signature of N ry Public -'State of Florida) (Signature of N Public- State of Florida )
Personally Known I`'/OR Produced Identification Personally Known ✓ . OR Produced Identification
Type of Identification. Produced _ - - Type of Identification Produced
Commission No. ;�<! '•• DOROTHY�,A,`NNIASKIN
OMMISSF9� bG030145 Commission
roc EXPIREV.October2,2020 v
Revised 07457711iT-'
DOROTHYANN IO2R ,V -.
My COMMISSION # GG 030745 .
Bonded Thai Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
-REVIEW
REVIEW.
DATE
COMPLETE
INITIALS