HomeMy WebLinkAboutBuilding Permit Application i • -
F AL .APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 i Permit Number: �`tidq�dOZ�1
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Building Permit Application RECEIVED SEP 2 0 2017
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
S -,."ems �g
PROP®SE® I'NIPROUEMENT LOCATION: r
Address: 14163 DALIA ANA&
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
PropertyTax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANI H LAKES FAIRW YS Block No.
Project Name: V J
Setbacks Front 25' Back: 28' Right Side: 16' Left Side: 16'
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11147ETAILED, DESCRIPTIONOF WORK: i
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SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM /2 BATH / 1 1/2 GARAGES
CONSTRUCTION LNFORMAT IOU
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Additional.wor to e e orme under this permit—check a apply:
�✓ HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
ZElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 S . Ft.of First Floor: 2,484
Cost of Construction:$ 58,000 Utilities:11 Sewer Septic Building Height:
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CO11V>NER%LESSEE CONTRACTOR::,,
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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
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If value of construction is$2506 or more,a RECORDED Notice of Commencement is required.
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FName:
ENTA{LICONSTRUCTION LIEN LAW INFORMATION:
a
NER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
BRADEN a BRA -
Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34995 Phone: '712,287-11258 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.
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 jobsitel
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 o C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF si_I- 4."
The forggjng instrument was acknowledged before me The forgo g instrument was acknowledged before me
this I day of S't*#0—tFM6d"YL 20 1`7 by this i I ddayof S&TE' 6c ,20 /7 by
Pr.,4-n7 'FW r'/47'Ne`W LYc-e- W YNI✓e
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Not Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica Type of Identificati TH
;e.'r}YA DOROTHYA o:
:r:•.Se ,; DOROTHYANNBASKIN
Commission No. _ MYCOh4MISSrQ� jGG030145 Commission No. •: MYCOA4MIS #)GG030145
XPIRES:dctobe 2,2020 s;; P�, EXPIRES;October2,2020
,Bonded Thru Notary Publ c Underwriters �•�6t F��•• Bonded Thn'Notary public Underwriters
Revised 07/15/2014 j
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,Q
COMPLETE
INITIALS � � I
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