HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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: 183 CALLE DE LAGOS
(Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
t
Property Tax ID#: 1301-111-0001-000-5 Lot No. 183
Site Plan Name: COUNTRY,CLUB VILLAGE Block No.
Project Name:
Setbacks Front 37' Back: 18' Right Side: 13' Left Side: 14'3"
jDETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
+CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—cleck all apply:
ZHVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric ❑✓_Plumbing Sprinklers Generator W1 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 DEPARTMENTName: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 -SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State:FIL 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
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
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: BRADEN&BRADEN Name:
14ddress:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34995 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
lCity: 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 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,
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 5';, "c-1 "
COUNTY OF S', c c
The forgging instrument was acknowledged before me The forgging instrument was acknowledged before me
,Z thisdayof F",'e.u#4-AV 20 17by this'742dayof '�,eUMZy ,20 17 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Nota Public-State of Florida)
Personally Known i/ic OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identificat
tiY%c•. DOROTHYANN BASKIN
Commission No. +"�'P sos DOROTHYANN BAS0 0 Commission No. r•.1
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o`er EXPIRES:Oetober2,2020 EXPIRES:October2,2020
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ��+ 3
COMPLETE
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