HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /lie— till,
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BuildingPermit Application pp OCT � 6
Planning and Development Services 2017
Building and Code Regulation Division
PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Res idenyfg'.)P°_fy,FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 14400 DALIA AV
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
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PropertyTax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
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Project Name:
Setbacks Front 34' Back: 20' Right Side: 20' Left Side: 25'
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I 'DETAILEDIDESCRIPTION OF WORK:
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(SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM /2 BATH /GARAGE
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
✓ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Z✓ Electric ❑✓_Plumbing []Sprinklers Generator ✓�Roof
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!Total Sq. Ft of Construction: 2,108 S . Ft.of First Floor: 2,108
Cost of Construction:$ 58,000 Utilities.
Sewer Septic Building Height:
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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
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: CGC03599
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
1 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
ih 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.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FL I A , STATE OF FL!Tr
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COUNTY OF , F ��� COUNTY OF 2-L( C':2
The foJoing instru t as cknowledged before me The forgoing instr me t wp,saJ`c nowledged before me
;this c�—day of r7- M.)_ 20 aby this i day of �C- V0 20 )by
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(Name of person acknowled i g a (Name of person acknowledgi g
(Sig4iure of Notary Public-State of Florida) (Signat r f Notary Public-State of Florida)
iPersonally Known r OR Produced Identification Personally Known OR Produced Identification
IType of Identification Produced Type of Identification Produced
Commission No. F_440%1, Ndfaggo&*�blicStateof Florida ommission No.
Julie Ninassi =o0"�n Notary Public State of Florida
My Commission GG 038942 Julie Ninassi
or R on 942
VXer 0 Expires 10/16/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
;DATE
COMPLETE
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INITIALS
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