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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 ' Bontled 11xu HotatYPuWcUtgenrdtga 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