HomeMy WebLinkAboutBuilding Permit ApplicationAIL APPLICAHL9 INFO M 5T OF COMPL€T90 FOR APPLICATION TO P ACUPTEP - - - -
Date: Permit Number:
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Building Permit Applicatio DE t s a. 2020
PW nln' Pn# DOV�1 pmgnt �prkco .:.. :.. ;
Perm n
9�r1lrlfitg Anid �'n�n l?9�Nl�rtlan Alvl§fail „ . .: � �f;�of"tfi`Idli
2300 Vlrglnig Av0nyg, Fort P1grcg Ft 34982.. fit. ie-:C 'U nt
Phone: (772) 462-1553 - Fax:, (772) 46.2.-1578 - Citim 'lerdal_ Re _ �/
PERMIT -APPLICATION FOR: BuildIl?)g .
PROPOSEQ 1 OVEMENT'LOCATION:
Address: €RRA mI=L INORTla
Legal Description:. I=AHT 1/:OF 6EOTION.1 a `I OyyN5MIP4S r. RANQIa9E . .
Property Tax ID #: Lot No:
Site Plan' -Name: COUINTRYCLLJOVILLAGE Block No.
Project Name:
. .... ..
Setbacks 'Front321. Back:.: Right Side: .1T Left -Side:' 14'
DETAILED. DESCRIPTION OF WORK:.
SINGLE FAm.iLy kE$IDENCt'(repla�rl�ent: hom ,e). e 2 BEDROOMS 2 QATHS ,;- OARAO
.:CIO BLAB WILL BE BUILT OFF: REAR OF -HOME
CONSTRUCTION INFORMATION:
Additional,wor.k to jee orme . under this permit.— c ec -a app y:
�HVAC- LJ Gas Tank .Gas.Piping Shut#ers;Windows/Doors
.
_ Electric D Plumbing . Sprinklers Generator Roof.
Total Sq. Ft of Construction: 2,108 : S . Ft. of First'. Floor:: 2108
Cost of Construction: $ 68,000 Utilities: Sewer- Building Height:
OWNER/LESSEE:
CO:NTRACTOR ..
Name WYNN.E BUILDING'DEPARTMENT
Name: -MATTHEWLYLE WYNINh
Address: $000 SOUTH US. HWY.1, SUITE 402
Company: WYNINE DEVELOPMENT:OORPORATION' .:.
Address: -8000 SOUTH US HWY.1 - SUITE 402
City: PORT ST, LUCIE State: FL
City: PORT.ST, LU.CIE State: FL. .
Zip Cdi&: 34.952 :.: . Fax: (772) 878-7656 ..
Phone.No: (772).578-5513
Zip Coder 34952 Fax: (772) 878-7656
E-Mail:
Phone No.:(772) 878-5513
:Fill in fee simple Title Holder on. next page (Jf.different
&Mail:,.
from the Owner'listed above)
State or County Licenser 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. : -
SUPPLEMENTAL CONSTRUCTION LIEN LAW` INFORMATION:
DESIGNER/ENGINEER: _ _ Not Applicable.'
.
MORTGAGE.COMPANY• Not Applicable -
Name: BRADEN&eRADEN .
Name:
Address: 417 CocoNUT AVE.
Address:
City: State:
City: STUART State: FL
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:
I certify that no work or installation has commencedprior to the issuance -of a permit.
St. Lucie'County makes.no representation that is granting a permit will authoriiethe permitholdee 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 toyour: property. A Notice of Commericement"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 recordinIg your Notice of Commencement...
_ Signature of Owrier/ Lessee/Agent Signature of.Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instr meet w s cknowledge ore me
this i day of ( 20 y
(Name of person acknowledging)
STATE OF FLORIDA.
COUNTY OF
The forgoing instrument was acknowledged before me
this day of �r)�t',P�2l&O r . 20 X_by
(Name of person acknowledging)
(Signature tary Public- State of Florida) (Signature of N y Public- State of Florida )
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identific'at* dwiw
tiT .
.
# GG.62774
,� at�14p i
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Commission GG
_40 �."
Commission No... .-I32114-
C� qn
'fie I ,res
m sion Exp'
Commission No: '• re -:
vnireS
y Comi {)Expires
aa,
'„Fa,�o,`
My
January 14, 20.21
'%,E o�".�
,
14
January. ;.2021'
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.
Revised 67/15/2614
REVIEWS:
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION'
SEA TURTLE
MANGROVE:
COUNTER.
REVIEW
REVIEW
REVIEW -
REVIEW
REVIEW-
REVIEW_
DATE
COMPLETE
INITIALS