HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'a,0 11 Permit Number: l�a�-oat
RECEIt'-D SEP 2 0 2017
- 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
11PROP;OSED IMPROVEMENT LOCATION': r
Address: 9 CORDOVA LANE
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name: ,
Setbacks Front 33' Back: 31'6" Right Side: 60' Left Side: 36'
DETAILED DESCRIPTION ..F WORK:
4 t
.a; 4
MOBILE HOME REPLACEMENT: SINGLE.FAMILY RESIDENCE - 3 BEDROOM /2 BATH
GARAGE
CONSTRUCTION IN'FORIVIATION: q- 'F � :,
Additional work to be nertormed under this permit—check all apply:
✓ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers Generator 7 Roof
Total Sq. Ft of Construction: 2,275 S . Ft.of First Floor: 2,275
Cost of Construction:$ $58,000 Utilities.
Sewer Septic Building Height:
QWNER/LESSEE CONTRACTOR: '' g.§°.0 h }A
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
I
If value of construction is$250b!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 BBraden Name:
Address:417 Coconut Ave. Address:
City: Start 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:
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 Con ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF !-=, ku c t, COUNTY OF ST "c of
The forggQigg instrument was acknowledged before me The forgojng instrument was acknowledged before me
this�Tclay of S'EPTE-? 4 M 20 /?by this(Y r—day of 5 ?re?"66X .20 t7 by
22Ar-r C-1,J Lys WYNNF �Y_/�?T�7fE� C�G� llyS�NNE
(Name of person acknowledging) (Name of person acknowledging)
Lg��(1� ?J I Q ZI�A
(Signature of Not Public-State of Florida) (Signature of NotafJ Public-State of Florida)
Personally Known V/OR Produced Identification Personally Known &, OR Produced Identification
Type of Identification Produced__ Type of Identificatio Produced
3 �•,, DOROTHY ANN BASKIN " '.?:;•. DOROTHY��ISKIN
Commission No. j "":�. ' '' �]
I MYC0M�� �N#GG030145 Commission No. Oh4MISSl 030145
'4c EXPIRES;October 2,2020 "• o EXPIRES;October 2,2020
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Underwriters '•%'.
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Revised 07/15/20 4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE Z
INITIALS