HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE'ACCEPTED
Dater Permit Number: VN I
RECEIVE®
Building Permit Application.
Planning and Development Services N O V 2 7 i 9
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 Resid2ntia
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 14564 DALIA
Legal Description:- 6/7 34 39 all that part lying northeasterly of k95
1'306-11.1 0001-000/0
Property Tax ID #: Lot No:
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 34'. Back: 22' Right Side: 19' Left Side: 14"
DETAILED DESCRIPTION OF -WORK:
SINGLE. FAMILY- RESIDENCE .(replacement. home)::2 BEDROOM/ 2 BATHS / GARAGE
NO'SLAB WILL -BE BUILT OFF REAR OF HOME ..
CONSTRUCTION INFORMATION:
'Additional work to be nerformed under this permit --check. a apply,
❑✓_ HVAC Gas Tank Gas Piping Shutters Q Windows/DGors
Electric - ❑✓ Plumbing - Sprinklers Generator g Roof
.Total Sq. Ft of Construction: 2,108 S .'Ft: of First Floor: 2;108 .
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: WYYNE DEVELOPMENT:CORP. ' ..
City:: PORT ST. LUCIE State; FL
Address: 8000 SOUTH US. HWY. 1 SUITE 402 .
Zip Code. 34952 Fax:-(772) 878-7656 -
City: PORT.ST.. LUCIE State: FL,
Phone No: (772).878-5513
Zip -Code.: -34952 Fax: (772)-878-7656
Phone No. (772) 878-551:3 .
E-Mail:
Fill in fee simple Title Holder on next page ( if.different
E--Mail:.
State or County License: CG.003599
from the Owner listed above)
it value or construction is :�zsuo or more, a RECUROEo Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: .
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE.COMPANY: .. _ Not Applicable
Name:. BRAZEN & BRADEN .
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
city: -State:
Zip: 34996 Phone; (772)287-8255
Zip: Phone::
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:. 'Not -Apo' licable
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'Count. 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 Ameridments.
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.p 'sted 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 Signature of:Coniractor/License-Ho[der
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF S'T- 6-4 G «. COUNTY OF ST -4 c ram:
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2a day of UF-miB etc.: , 20 M by this _2�aday of /VOyFYr116E?Z 20 19 by
l7%,�4 r7V &- W y c F %YOU A, P' . 1YY14 7T1-/ -6J L YCC GV Y/r nr �
(Name of person acknowledging) (Name of person. acknowledging) .
�. ;;
(Signature of NotUr -Public- State of Florida) _ (Signature of Not Public- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known . ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced -
Commission No. DORO�y�iINBASKIN Commission No: •.� ''
c Y COM ISSIO}}�J # GG 030145 r 00 ANN BASKIN,
? EXPIRES; Oclaber2, 2020 y' ;.�f MY COMMISSION # GG 030.
;
Bonded
- rnu � - .��d Th-�Notary.PublicUnderWnters
Reviseid'07/15/211-121
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE:
COUNTER:.REVIEW
REVIEW
REVIEW.
REVIEW
RE -VIEW". X
REVIEW
DATE
COMPLETE
INITIALS
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