HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / n
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Building Permit Application OCT '6 2Ql?
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
C Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 3 EL CAMINO REAL
Lega`I Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
a
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name: P/
I
Setbacks Front 23' Back: 45' Right Side: 14' Left Side: 14'4"
FJ'DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE -2 BEDROOM /2 BATH /
GARAGE
;CONSTRUCTION INFORMATION:
itiona work to be nertormed under t is permit—check all apply:
W]HVAC Gas Tank ❑Gas Piping _Shutters El Windows/Doors
Z✓ Electric ❑✓_Plumbing �Spri lers Generator L Roof
Total Sq. Ft of Construction: 2,108 S . Ft.of First Floor: 2,108
i Cost of Construction:$ $58,000 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp.. Name: Matthew Lyle Wynne
Address:8000 South US.Hwy. 1 Suite 402 Company: Wynne 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.
•
SU
PPLEMENTAL 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:
IZip: 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.
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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLO �DALAC� STATE OF COUNTY OF-,St.A 44 ( Q COUNTY OF �
The oing instr} s acknowledged before me The fo going instrt ngn wUk�nowle d b ge i before me
this c day of l.t, 20 11by this day of UL y
�j L� Ile- oe-
__LL�f le__- 4J
(Name of person acknowlecl ing) (Name of person acknowle in
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j (Signat a of Notary Publ'c-State of Florida) (Signatuk)of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
I ����yy
Commission No. I `� ju�ieT7i�iassstate of Florida Commission No. ='W'(* Nota State of Florida
'9�ti � My Commisslon GO 038942 . Julie NineBsf
a. iMy Commisslon GO 038942
02
i Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
COMPLETE to
INITIALS