HomeMy WebLinkAboutBuilding Permit Application- 1
Date: Permit Nun 11ba.L.-
r
O11din�: F�el�l'i/plica'iA DEC 3 2020:
�iRnr�ir�o00,pov �A�mQht§�r�i 4 Permitting Department
mi ngpndcome kopiptionPiwoon fit. Lucie CoUnty;. FL
'2.399 9rirginiR Aypnyg, Fprt FILegg Fb 3493,2 .
P,hone:.(Z72)462=1553 Fax: .(772).462-1578 COmmerClal. ReSI 2ntl81.
PERMiT APPLICATION FOR:
PROPOSEQ IMENT LOCATION: .
Address: 191A VILL - 'WAY
Legal Description:. l`I 1/ OF SSE TIQN 1 a `iOWN50I A 3415 E f3PCE 39F,.
Property Tax ID # 1001-111' 901-099p6 . Lot No:
Site Plan -Name: CQVNTRY OiLV5 VIL Af3E Block No.
Project Name: .. . : . .
.. .. ..
Setbacks ..Front2� Back: -19Right Side: 15 Left Side: 1`
DETAILED _DESCRIPTION OF WORK:
. .. .... .. . .. .
B.
IWILE FAMILY RESIDENCE epladeri�len ho net A 2 BEDROOM$ e 21/2 BATHS:'- GARAGE-:.
NO %AS WILL BE -BUILT OFF: REAR OF -HOME
CONST,RUCTLON INFORMATION: .
Additional work to . e e orme : un. e_r t. is permit - c- ec : a app y:
Shutters Ws/DHVAC Gas TankGas.Piping woors
®Electric O Plumbing . Sprinklers Generator Roof
:Total S' - Ft of Construction: 2.282 : S Ft: offirst Floor:: 2,282
Cost of Construction $ 58,000 Utilities: Sewer. Septic Building Height:
OWNER/LESSEE:,_
: CO.NTRACTOR:..
Name WYNNEBNILI)ING'DEPARTMENT -
Name:'MATTHEWLYLEVWNNE ..
Address: 8000 SOUTH US-HWY, I- SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: POkT St., LUCIE - .. - State: FL-
Address:.8000 SOUTH US HWY. I.- SUITE 402 .
Zip Code m .34952 :.. ..:. Fax:-(772) 878-7856
City: PORT.ST. LU-CIE - State: FL. .
Phone.No. (772):878-5513
Zip Code: 34952 Fax: (772)-878-7656
E-Mail: a a
Phone No.:(772) 878-5513.
.Fill in fee simple Title Holder on -next page (if .diff. erent-
E-Mail:-
from the Owner listed above)
State or County License: 08898.
If value of. construction is $2900 or more, a jRECQRDED Notice of Commencement is required.
SUPPLEMENTAL_ CONSTRUCTION LIEN LAW INFORMATION: ."
DESIGNER/ENGINEER: . ` Not Applicable :
MORTGAGE.COMPANY,. _.Not Applicable . .
.-Name: BIRADENA BRADEN
Name:
Address: 417CocoNuravE.
Address:
City: STUART State: FL
City: State:
Zip: 34996 Phone:- <772)287-8258
Zip: Phone:
FEE.SIMPLE.TITLE HOLDER: _ Not Applicable
BONDING COMPANY:=Not:Appl'icable .:
Name:
Name:
Address:.
Address:
City:
City:
Zip: Phone:
Zip: Phone'
I certify that -no work or installation hascommencedprior to the issuanceof a permit.
St: Lucie Countyy makes no representation that is granting a permit will authorize the permit holder.to'build the subject structure
which is in contlict 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 l 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:paymg tvWce.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.vour Notice of Commencement:..
_ Signature of Owner/ Lessee/Agent Signature of: Contractor/License Holder
STATE OF FLORIDA < l II, STATE OF FLORIDA I '
COUNTY OF au COUNTY OF
L
The fo�r °in instr meht was acknowled ed fore me The for oing instr merit was acknowledged before. me
this day of I�.i 1� 20 y this (�� day of 20 b-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of otaryPublic- State of Florida) (Signature .of otary Public- State of Florida)
Personal ly-KnoWn OR Produced Identification Personally Known V OR —
Type of Identification Pro Type of Identification Produ o��"""��., . joy 0OTEA��
.JQ � :Expires
- .- � „c` 'e-s commission - _ 74
4
= Co on # G4 �. "� ��� mmission Expires
Commission No..: = "$i., Commission No: .� �•:.:
My commission �o: Ja uory 1 4, 202January 14,
Revised 07/15/2014
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