HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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
PROPOSED IMPROVEMENT LOCATION:
Address: 14423 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front 33' Back: 36'
Right Side: 15, Left Side: 15,
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATHS / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
LIHVAC LJGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ 58,000
Jerrnu—LneLK dH appiy:
Sas Piping _ Shutters Z Windows/Doors
Sprinklers Generator ❑✓_ Roof
S�Ftj of First Floor: 2,108
Utilities: nSewer OSeptic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATfHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYNNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Maik
Fill in fee simple Tif1e Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: CGCO3599
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN B BRADEN
Ad d res5: 417 COCONUT AVE.
City: STET State: FL
Zip: 3 Phone: (m)zez�zzse
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
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
_ Signature of Owner/ Lessee/Agent
-- - s
Signature of Contractor/License Holder
STATE OF FLORIDA q STATE OF FLORIDA
T COUNTY OF 9 . /vow c it COUNTY OF ST , kM c K
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�,{dayof MA-oe�4-f 20 Lby this c;-Irciayof /W A eCr/ 20 ZLby
'PW'4rtW- W 4�W1g7771EW Z )tLC QJYAiN�i
(Name of person acknowledging) (Name of person acknowledging )
0." A4,01c..
(Signature of NoePublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
DOROTHY
Commission No.
EXPIRES: October Z 2024
Revised 07/15/2014
�n�-bG, W�ri,. ✓�G�
(Signature of Not#y Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
"DOROTHF**WP c
Commission No. ;'i?" '"fir:•, A..KIN
.. ..._ 'COMMISSION # HH 045443
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
S & W ELECTRIC, INC. have agreed to be
(Company Name/Individual Name)
the ELECTRICIAN _ _.._Sub-contractorfor-W-Y-NNEDEYFLOPMENLCORP.--
(Type of Trade) U\ (primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice. /
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
MATTHEW LYLE WYNNE
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-ST.LUCIE _
The foregoing instrument was signed before me this day of
G � 2011 by MATTHEW LYLE WYNNE
who is personally known Y or has produced a
as identification.
ro 44 a y„ 96LO /LL.- STAMP
signature of Notary ie
DOROTHY ANNBASKIN
Print Name of Notary Public
DOROTHYANNBASIGN
*: MY COMMISSION #m USW
- ' EXPIRES, Octobw2, 2024
'
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evr
LAWRENCE STUBBS
PRINT NAME -
�
COUNTY CERTIFICATION NUMBER
-State of Florida; County of ST. LUCIE
The foregoing instrument was signed before me thisy of
wiG (1\ 20'D, b • LAWRENCE STUBBS
who is personally {mown W or has produced a
/as iideen't�ifi�ca�tionnn..� p p{f�j` /��pp
l i AAA-9" �A9 X 1'YBA .% STAMP
�Signiture of Notary Public
PrintName of Notary Public
.'.:". ., LAURAR.CUBSEDGE
T
of `Commission#HHWWII
'f:�,F�o`'` Bonded Thm Troy Fenlns�urdnm8003857019
764
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
AQUA DIMENSIONS have agreed to be
(Company Nameilndividual Name)
the PLUMBER Sub -contractor for WYNNE DEVELOPMENT CORP.
(Type of Trade)
For the project located at
(Project Street Address or
(PIIR1ary Contractor)
9
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
MATTHEW LYLE WYNNE
PRINT NAME
I
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCiE
The foregoing instrument was signed before me thisd day of
`�y�[�`t�'� \. .20D ,( by Vonn
who is personally known -./ or has produced a
as identification.
��itsni �_/NLin /J �Gw
Signature of Notary fublic
DOROTHYANN BASKIN
Print Name of Notary Public
;.zoe.'"•'�';:. L)OR017{ygHHgpgpN
:ei . MY CV �OyM�MISSIONA#HH045443
,��FOF Y?OA'' �td� I I4 Y.N�a�y pMnry�, LVL4
SUB-C C - SIGNATURE (Qualifier)
ROBERT LUDLUM
PRINT NAME
18628
COUNTY CERTIFICATION NUMBER -
StateofFlorida,Countyof ST. LUCIE
The foregoing instrument was signed
�before
- me this�� day of
v— h 20
who is personally known�'Lor has
Mfnj"
ficatio11n.
STAMP " 1 STAMP
Signature ofNotary Public
RHONDALAFFERTY
Print Name of Notary Public
••^;_-�•• Rb$Ofe4DA 'LAFF'E'¢s'T�r
Im NtlY GO"AA4ISSION d GGf158720
EXPIRES January 08, 2021 f
J
PERMIT* ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code. Compliance Division
InALDING PERMIT
SUB-CONTRACTORAGREEMENT
Comfort Control of St, Lucie County, Iris. have agreed to be
(company NameRndrnduai Name)
the HVAC Sub-cOntractorfor Wynne Develo meet Cory
(Type of Trade) (Primary Contractor)
For the project located at
'(Project Street Addressor property Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned .
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant. to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIONATURE (Qualifier).
Matthew Lyle Wynne
PRINT NAME
COUNTY CERTIFICATION NChffiER
State orPloridaCopnty of�•�V C-��
R\
The foregoing instrument was signed before me t "'OCe day of .
who is Personally known V or has preduccd a
as identification,
O�)iPAi �f/�q �R/N�s. 1 JGr4�GYm
Signature of Notary Pule
�-Dogo-lwv Awv 44-Seer^)
Print Name of Notary Public
M. DOROTNYANNEASKIN
.- MY COMMISSION#HH 045W3
•; _" EXPIRES. odober2.2024
''•:Eosvge� BoadedThvNolaryputttc Undenrt(ters
Revised 11116YL016
8288
COUNTY CP.RTPPPCATION NUMBER
State of Florida, County of �.�C
The for eoicg instrument wag sigped before me this day of
y\��<ti�1C\ . ate. � b�jO.i�.J�. -Zi. o•tM 2: ti`�
who is personally )mown \/or has produced a
as identification.
STAMP ezak: . STAMR
SignatureofNotary c n� .
VO r2oYa4 H Avy 9Agx1 J .
Print Name of Notary Publie
DOACTHYANNEASKIN
MYCOMMISSION#HH045443
9•s ro EXPIRES.'Ca ar2.207A
r]oadad 76tu Notary Publk V.wF. w.ygp
L66-d ZO00/ZOOOd tLO-1
999L8L8ZLL dao0 suipp ng auuAM -WOH� gl:ZL 9l,-60-ZL
PERMIT #
ISSUE DATE
P�NG A. DEVELOPMENT SERVICES
Building '& Code Compliance Division
BUILDING PERMIT
SUB-CON`IRACTORAGREEMI ENT'
the RoofingSub-conttactorfor Wynne Development Corp..
(IypeofTWO) (Printery C(4attactor)
For the
It is understood that, if there is any change of status regarding our participation with the above mentioned
project; the BuildinD and. Code Regulation Division of -St Lucie County will be advised pursuant to -the.
filing of a Change of Sub-contfactor notice.
CtuvllfP,C?O&sIG Ve1�TURE tQ'aal;Gerj
Mafthew Lyle Wynne
FRLWXkhM
COFJNTTEERTIFJCAT,IOCN�hj-fI�M\BER.
State of Florida, County of �-' ` • �L%C+�e c�, n--,
The foregaiog;instromentwassigned
`liegfojreme dja0l ` .day,of
who ispemnallylcoowa'`! or haspruduceda,
'asideatiitcat on.
4-fiM 660111kt- STV
Stgaamee-of Notary
M
My COMMISSION# HH 045443
EXPIRES: October 2,2024
Bonded Ttw Notary Nkk undmrHsx
SU&CO�TRA SIGi!`ik � tQaatitier)
Brian Maloney
PkU4T NAME
r.r.r. i 3-:ztOriSq-
CVUNI'TCERTII•IICWFIVN;h'UNMER .
State of Ronda; County
The foregom{ginstrument was: signed before me this G` of.
whoispersonallylaown N/ rbasprodaeeda: 1
as iide�identification; J/J� /%J%l�
STAW
SimatureofTotaryKok
MY COMMISSION # HH 045443
E*iRES:octobas9 qn,
j .
ST,'LU:CIE COUNTY
BUILDING & ZONING
2300 VIRGt aA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
]VELLED ]M,t•11
I, the undersigned, am the owner of the following described property: V-VA -o) 3 �c�,\`
#13.06-111-nnn, n n n i
(Tax ID/Legal des
cription/Address) northeasterly of I-95
for which I have applied to St. Lucie County for a Final Development Permit In accepting
this Final Development Permit, BP Number I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property, St. Lucie County is neither obliged
nor liable to provide,for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Mat thew r ylp Wnna -
Property Owner Name
Property Owner Signature Date
STATE OF FLOPmA, COUNTY OF St_ Lll i
ACKNOWLEDGED BEFOREMETMS,2-5 DAYOF D)ARC1-1 202j
BY —Matthew T v 7 p Wymne wHO �s PERSONALLY KNOwN TO ME OR WHO HAS PRODUCED
IDENTIFICATION.
]>Ozea2-HY o4N l) J f}Sgleo
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE - (SEAL)
. COMMISSION NUMBER
DOhOTHYANN BAs' !
MYCOMMISSION;<HH u45443
EXPi.RES: Wober2, 2024
Bonded ihru Notary,__ peyli�D�y,rx�iters