HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 I pp�
Date: CJ Permit Number: �10 .
RECEIVED
Building_ Permit. Application..
NOV 2 6"2m
Planning and Development Services
Building and "Code Regulation Division ST. Lucie County; PermitEing
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462=1553 Fax:. (772) 462-1578 _ . Commercial, Residential. X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 1- PERU.
Legal Description:. EAST 1/2 OF SECTION.1 - TOWNSHIP34.S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No. -
Project Name:: .
Setbacks :Front 27' Back: 31 . Right Side: 24' .. Left Side:: 25' .
DETAILED: DESCRIPTION CIF WORK:
SINGLE .FAMILY- RESIDENCE' .(replacement.home) - 3 BEDROOM - 2 BATH'- 1 1/2:GARAGES
NO'SLAB WILL BE BUILT OFF -REAR OF HOME
[CONSTRUCTION INFORMATION:
itiona .wor .to e nertormed. . under this permit.— coeck a apply:
HVAC Gas Tank EiGas Piping Shutters. Q Windows/Doors.
�✓ Electric ✓❑ Plumbing OSprinklers [] 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. BUILDING DEPARTMENT
Name:-MATTHEW LYLE WYNNE
Company: WYNNE DEVELOPMENT CORPORATION
Address: 8000 SOUTH US HWY. 1.- SUITE 402
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 ,.
Phon0.No. (772) 878-5513
Zip Code; 34952 Fax:' (772) 878-7656
E-Mail:
Phone No. (772) 878-551:3
Fill in.fee simple Title Holder on next. page (if -different
E-Mail:
from the Owner -listed above)
State or County Licenser 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
MORTGAGE.COMPANY; _ Not Applicable .
Name: BRADEN&BRADEN .
Name:. -
Address: 417 COCONUT AVE.
Address:
City: STUART' State: FL
City: State:
Zip: 34996 _ Phone: (772)287-8258
Zip: Phone:.
FEE'SIMPLE TITLE HOLDER: _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.
Inconsideration -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,-'.
accessorystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anbther 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 finapcing, consult with lender or ah.attor-ney before
commencing work or recordin : our Notice of Commencement. .
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST/%a e�E COUNTY OF S?. I,u ee e
The forgoing instrument was acknowledged before me -: The forgoing instrument,was acknowledged before me
this as day of l\10 V &-rAs&1L 20 ftby this ,�a-day of )l.(or��m�3e �G 20 l.i by
1� A r1wc't:J L c-c-- ( y nr iv liY1,g f L Y c E JA) y.�, N.
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notarybli�c-'State of Florida) (Signature of No r Publ'ic= State of Florida )
Personally Known '� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification Produced
0ORO
# GG 030145
Commission No..: I-'�', , q_9 MYCOMMI §Q0301 Commission No.
EXPIRE: Ooto�el 2,
Bondad Thru Notary Publl, 0 u,�rs
Revised 07/15/2014 -
DORO. BASKIN -
My COMMISSION #.GG 030145
9c
90nded Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.
MANGROVE -
COUNTER
REVIEW
REVIEW. -
REVIEW
REVIEW.
REVIEW..
REVIEW-'
DATE
COMPLETE
INITIALS