HomeMy WebLinkAboutBuilding Permit Application i
A!. RF C�iV1PLET D,FQ APPLICATION TP 13,9 ACCEPTED
LAP PIICARLE;INFC1 MUST
Date. Permit Number:..d� LJq v O O
i
Building Permit Application
Planning and Development Services
8.040 and Code Regulation Division
2300 Virginia Avenue,Fort Pierce:FL 34982
Phone:(772)4:62-1553 Fax: (772).462=157.8 commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSE® 1I1fIPR01/EMEIVTV
OT _
Address: 9.JUARE
Legal Description: SECTION 261 TOUNSHIP'36s/RANGE 40e
Property Tax.IQ# 3414-501-1101-000/9 Lot'No.
Site Plan Name: SPANISH LAKES-ONE Block No. .
Project Name:
Setbacks Front 21` Back: 21' Right Side: 16' Left Side: 2-3'
QETA[LED QESCRIPTtO�I OF WORK
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE.- 1 BEDROOM 11 1t2 BATHS!DEN I
GARAGE
C,�NSTRUCTION INfOR�VIATt4tV � :4�< �z ,� k �. � `
Additional worK to e ertormed under t is permit—Check a . Opp y:
ZHVAC L_1 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ® Plumbing, Sprinklers E]Generator 1 Roof
Total Sq.Ft of Construction: 1,750 S, Ft.of First Floor:. 1,75Q
Cost of Construction:$ $58,000: Utilities Sewer Septic Building Height.
OWNER/LESSEE
g.. . _ F.. CONTRACTOR. _ .
'Name Wynne Building Corp. Name: Matthew Lyle Wynne j
Address:8000 South US Hwy. 1 Suite 402 Company: Wynne Development Corp.
City: Port,St.Lucie State:FL Address: 8000 South US Hwy,I Suite 402
Zip Code: 34952' Fax:,(772)878-7656 City: Port St,Lucie. State:FL.
Phone No.(7. 2).878&5513' Zip Coder 34952. Fax: (772)878-7656
E-Mail:.Phe6@wynnebc.com Phone No..(772)878-5513,
fill-in fee simple Title Holder un next page(.if differeriit E-Mail: ched@wynnebc:com.
from the Owner listed a j ove) -State or County License CGC0359R
If value of construction is$2500 or:more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTIQN !lEIV !AW lNFORMAT1C1N
h_.,•. W., . _�;
w ___._
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:: _Not Applicable
Name: Braden&scaaen Name:
AddretS'.417 doconqiAvc. Address:
City: stuart State: FL., City: State:.
Zi;p: 349N Phonei.Z772i?az=az5a Zip: Phone::
FEE SIMPLE TITLE HOLDER: _Not Applicable, BONDING COMPANY: _Not Applicable
Name- Name:
Address: Address::
"City; City:
Zip: Phone: Zip: Phone:
Icertify.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 allthorize:the ppermit holder to build the subject stricture.
h i whicsin conflict with any applicable Nome 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.
Incbmiderationof'the'granting,of'this requested permit,I do herebyagree 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;-
accessorystructures,SWlnimin g pools,fences;walls,signs,screenrooms 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 recordingour Notice ofCommencement.
s
_Signature of Owner/Lessee/Agent Signature of,Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY O�ST LUCIE
The forgoing instrument wasacknowledged before:me The forgoing instrument was acknowledged before me
?�S�day_of t'y'7�}j2C 1! 20.1�by this��day of /1-4kC��! <1_by
this 20
:MATTHEW LYLEIWYNNE MATTHEW LYLE WYNNE
(Name of-person acknowledging) (Name of person acknowledging)
(Signature.of NotfJ Public-State of Florida). (Signature of No Public-State of Florida),
Personally Known x OR Produced Identification Personally Known x OR,Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No a D.oROTitY KIN Commission,No DOROrIY @ N
`�"°``� .
;� MMI8SI�045443
*'.. CC}MMISSION#.pii'l-a45Q4$
• Q EXPIRES:October 2,2024• a; FXP�iR_•ES;octpo,b�e�r 2r,,20_2..4�j.,��
....r .1,LLU T:viniy,ae+ wlltG/J
Revised 07/15/2014
REVIEWS- FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW.
DATE
COMPLETE
INITIALS