HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: / 'll
Building Permit Application �� Z®
Planning and Development Services
Building and Code Regulation Division JUN 3 Z017
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6783 SECOYA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
(Setbacks Front.',,,moo/ Back: Right Side: 16' Left Side: 17'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM /2 BATH / GARAGE
I.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all apply:
✓ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
i
ZElectric WI Plumbing ❑Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 2,275 S Ft.of First Floor: 2,275
Cost of Construction:$ 58,000 UtilitiesliSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
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
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&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART 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
i
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.
I
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF
COUNTY OF S4 Luc-LP— COUNTY OF ,FLORIDA_ LUc-(ee.
The forgoing instrume t was acknowledged before me The forgoing instrume t was acknowledged before me
this .30day of �i.�-n-e_ 20by this day of �(,�n� 20 I� by
(Name of person ackno Bing) (Name of person ackno dging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known 'G OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Publi65*W of Florida Commission NQ.FFT72Sg3 (Seal)
?° Kern E Budka
VA Q My Commission FF 978543 °�e Nota
or h Expires 0012DIZUZU Kern E Budka
Revised 07/15/ 9, 1 � MY Commission FF 976543
Of Expires 05/25/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE �] 21 177 4/1 q
INITIALS