HomeMy WebLinkAboutBuilding Permit ApplicationAkL APPLl6ABLF INFIX M�§T gF 6.19MPL9-TgP F9R APPLICATION TB 0 ACC.gPTEP
Date: Permit Number:. .
- - . .... .. ..
Building Permit
Application
PIAnning Ano 9nvplegmtenl &?rV1FP-4
&#ding end 00 RLeg1l0l:ion-91i WOn
9399 Virginig Avonn, Fert PlnrrP Ft 3499
Phone: (772) 462_1553- Fax: (772) 462-1578 • . Commercial Residenti.6 X '
PERMIT APPLICATION FOR::-*B�lldlr� .
PROPOSEC �O'VEMENT LOCATION:
Address: 4/€RA CRUZ
Legal Description: €A8T '1/g OF 6€9T19N 1- TOWN0HIP-346 =. RAP NO€ 39E
Property Tax ID #: 139.1-1-®991-AAA-6 Lot No.
Site Plan Name: 99UNTRY=8 VILLAO€ Block No.
Project Name: '
Setbacks Front 32' Back:34'. Right Side: 15' Left Side: 1_2'S°
DETAILED DESCRIPTION'OF WO.RK:_;
F. `
SINGLE FAMILY -RESIDENCE (replacement home).- 2 BEDROOM 2"BATHS QARAGE .
-NO SLAB WILL BE BUILT OFF: REAR OF HOME
CONSTRUCTION INFORMATION:
Additional.work to be nnertormed under this permit-- check all* apply: -
VHVAC._ Gas Tank ❑Gas Pi _ n Doors
Piping - Shutters �w Windows�.
Electric- Plumbing Sprinklers Generator ..Z Roof
Total Sq. Ft of Construction:Sq.-Ft. of First Floor: 2;1.98
Cost of Construction: $ 5A3;01�0 Utilities; Sewer E]Septic Building, Height:
OWNER/LESSEE:
CONTRACTOR:'
Nam eWYNNE.OUILDINGDEPARTMENT-
Name: MATTHF-WLYLE.WYNNIE ..
Address: 6000 SOUTH US. HWY, 1 SUITE 402.
Company: WYNNE DEVELOPI1 ENT UARPOFiATON.
City: PORT ST; LUCIE .: 5tate: FL .
Address: 8000 SOUTH US. HWY, 1 - SUITE 402 .
Zip Code:.34952:: - Fax: (772) $76-7656 ...
City: PORT .ST..LUCIE ... State: FL...--
Phone No. (772):576-5513'
Zip Code: 34952 : Fax: (772)'876-7656
Phone No. (772) 87"513.
E-Mail:
.Fill in -fee simple.Title Holder on. next page (if different.
E=Mail:.'
from the Owner listed above)
State or County License:" 08698
Of value of.construction is $2SW or more, a RECORDED Notice.of Commencement. is required. "
SUP PLEMENTALCONSTRUCTION LIEN.LAW INFORMATION
f
a Pr r xa s
DESIGNER/ENGINEER: _ Not Applicable
A MORTGAGE.COMPANY� .. _ Not Applicable
Name: .BRADEN&BRADEN .
Name: .. .
Address: 417CDCONUTANE.
Address:
.City: STUART- State: FL
city: State:
Zip: 34996 Phone: h72l287-8258
Zip: Phone
FEE.SIMPLE.TITLE NOLDER:. _ Not Applicable
BONDING COMPANY: Not Applicable
Name::
Name:
Address:.
Address:
City:
City::
Zip: Phone:
Zip: Phone::.
1 certify that.no work or installation has commenced prior to the issuance of permit.
Si: 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 l will, in all respects, perform the work
An 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:pay(ing twice for
-improvements to.yourproperty. .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:..
_ Signature of Owner/ Lessee/Agent Signature.of.Contracto.r/License Holder.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S , I�- c-r COUNTY OE ST .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of C GTu �3 �YL , 2lD y this 9K. day.of 0CTt76 20 - _ by
4nt7-fe1-,>L Yc-G= Lc) Ye w E My l 777164u Lyc. (�U N rv,6;-
(Name of person acknowledging) (Name of person, acknowledging)
(Signature -of Nota P blic-State of Florida) (Signature of Not Public- State of Florida )
Personally -Known .0R Produced Identification Personally Known � OR Produced Identification
Type of Identification Produced Type of Identific ti7.
�>
_ :00ROTHYANN SAWN:. _ .
Commission N ;4F' N Commission No. `. MYcOMMISSiotaf�Qw4a
�FaY =80ROTHYA F� KI MY COMMISSION # HH 0454
oF 2�QEXPIRES: .
6coded Thru NotW Public Undenxdters
Bonded Thru Notary Public Underwriters -_---
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Revised 07/
•REVIEWS :
FRONT: ..
ZONING-
SUPERVISOR.
PLANS
VEGETATION'
SEA TURTLE
MANGROVE-.
COUNTER.:.
REVIEW
REVIEW:
REVIEW.-
REVIEW.
- REVIEW..
REVIEW..:
DATE
COMPLETE
IRIITIALS
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