HomeMy WebLinkAboutBuilding Permit ApplicationALL AP. PLICAI6LE INFO MUST BE COMPLETED FOR APPLICATION -TO RE A1CCEPTED
Date:. Permit Number: (}
L;r a=' RECEIVED
Buildin' Prrnit Application
DEC S.1 2620.
Planning and Develop eht Services : Permitting Department
Building and Cbde ftegulallon-01V151on :St. Lucie. County
2,300 Virginia Avenue, Fort~ Pierce Fk 34932
Phone: (772) 462-1553 Fax:. (172) 46.2.-1578 _ .. :C6mrnerdal. Residential: X .
PERMiTAPPLICATION FOR: BuIldiln�
PROPOSE' IMP OVEMENT LOCATION:
-Address: 51.LA PLIERTA DEL NORTE
Legal Description:. EAST 1/2.OF SECTION .1-.TOWNSHIP 34S-.RANGE 39E
Property Tax ID #: Lot No.
Site Plan Name: COUNTRY. CLUB VILLAGE ` Block No.
Project Name:
.. ..
Setbacks .:frontW ' Back:'.31Right Side:.16060A : Left Side:: 12'6"
DETAILED,DESCRIPTION OF V1/O.RK:
.. ..
BINDLE FAMILY RESIDENCE (replacer Ient fi®me) - 2 BEDROOMS, = 2 BATHS r GARAGE
NO BLAB WILL BE BUILT OFF: REAR OF HOME ..
CONSTRUCTION INFORMATID'N:
Additiona work to be n e orme .. under t- is permit—check_a - qpp y:
OHVAC Gas Tank Gas Piping _ Shutters - Q Windows/Doors
❑✓ Electric ❑✓ Plumbing Sprinklers 0 Generator F,(] Roof -
Total Sq:.Ft of Construction: 20106 S . Ft. of:First Floor:: 2:103
:Cost of Construction: $ 56a00® Utilities:— Sewer Septic -Building Height:
OWNER/LESSEE: '° m ,: = .
CONTRACTOR:: ,u...
Name Wl NNF—BuILD1NG DEPARTMENT
Name:. -MAT IIEW LYLE WYNNE
-Company: WYNNE DE�/ELOPMENT OORPORATION
Address: $000 SOUTH US. HWY, 1.�-SUITE 402
City: PORT ST. LUOIE ._ . State: FL_
Address: _8000 SOUTH US HWY.1 , SUITE:402
Zip Code: .34.. 862 Fax: (77078.76660 ..
I;2)
City: PORT.T, LUCIE .. State: FL.
Phone.No: (772).878,5513 .
Zip Code: 34052. Fax: (772) 670-7656
E-Mail:
Phone No.:(772) @76-551:3
dill In fee simple Title Holder on. next page (if.different
E.-Mail:.:
from the Owner listed above)
State or County License: 035g6
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
'SUPPLEMENTAL CONSTRUCTION LIEWLAW INFORMATION:
DESIGNER/ENGINEER: _ Not -Applicable'
MORTGAGE -COMPANY- Not Applicable .
Name:.ewEN&13RADEN .
Name:
Address: 4,7COCONUT AVE.
Address:
City:- STUART' State: FL
City: State:
Zip: 34996Phone: (772)287-8258
Zip: Phone:
FEE-90APLE 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 Co' ung makes no representation that is granting a,permit will authoriieah.e"ppermit holder to build the subject: structure
which is in conflict with any applicableHome 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 forany restrictions which may apply..
In consideration of the granting of this requested permit, I do hereby agreethat 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 concu'rrency 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 our Notice of Commencement. -
s
Signature of Owner/ Lessee/Agent Signature.of Contractor/License Holder.
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF S I W-Gi e COUNTY OF T- LI,L(AI 2
The forgoing instrument Was acknowledged before me The forgoing instrument was acknowledged before me
this � day of I�'C l e�`s��. 20 c ley this ;day of �'� 20 Cby
(Name of person acknowledging) (Name.of person. acknowledging)
CA tCD-
(Signature of 'Public- State of Florida)
(Signature of N Public-- State of Florida) "
fOR
Personally Known" r
OR Produced Identification_
Personally Known Produced Identification
Type of Identification. Produced
Type of Identifica 'o
Commission No.
a �` `�s" Comrtiissijoy o 62.t 7a:
mmission No. -� - I
a;".\ Y POLLARD
; ' °j,''-,. /S�
"
= °= Cbmmission # GG 62174
- - y Commi�sioxpires
110
My Commission Expires
+,� �o°�•` 14, 2021
January
�I111111\\
F ,
Revised 07/15/2014'
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