HomeMy WebLinkAboutBuilding Permit Application_'l
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Date: Permit Nu C7 7
RECEIVED
Building Poir� It-Applicatio DEC -3 0: 202
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9niiin� Ian► 9n AP90infli�n PiVi�inn .: Perm itti n g D e pa9399 VIVO& Av#nng, FArt New Fk -44A99Phone: (772) 4624553: - Fax: (772)462-1578 . Commercial �t .�CCOUn.
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PERMIT APPL-iCATION FOR: hilt it g
PROPOSES )IyhP,ROVEMENT LOCATION:
Address:.14P§§ 1§IA FLORFS.. .
Legal Description:. Ian4� eR thAl perk lying ►��rlheesrly of.l�6.
Property Tax ID # 13Q6-11 i=OOA4�A0079 Lot No:
Site Plan Name: P�N1EH Lf,KE-5 FAIRWWAY$ Block No.
-.Project Name:
Setbacks .:Front20'. . : Back:-19' Right Side: .2ALeft Side:
DETAILED DESCRIPTION OF WORK,*
SINGLE-FAMILY RESIDENCE #eplacement home: 3 BEDROOM / 2 BATHS 11 112 GARAGES
:NO'SL.AB WILL BE-BUILT'OFF:REAR OF HOME
:CONSTRUCTION INFORMATION:
'Additional.wor to be nej orme . under this permit — check -all that apply:
❑✓_ HVAC LJ Gas Tank Gas. Piping _Shutters a;Windows/Doors. :
❑.
❑✓_ Electric ❑✓ Plumbing OSprinklers ❑ Generator' Roof.
Total Sq. Ft of Construction: 2'484 S . Ft: of First Floor:. 2;484
Cost of Construction' $ 58000 Utilities:JSewer Septic Building. Height:
OWNER/LESSEE:
CONTRACTOR;
Name'WYNNE BUILDING CORP,..
Name: MATTHEW LYLE WYAINE
Address: 8000 SOUTH US. HWY. 1.., SUlTj E 402
Company: WYNNE DEVELOPMENT:CORP.
City: PORT ST, LUCIE State: FL
Address: 8000 SOUTH US HWY. I.SUITE-402
Zip Code:.34052 :.. Faxr(772) 878-7656 ..
City: PORT.$T.. LUCIE .. : State. FL. .
Phone.No. (772) 87&5513
Zip Code; 34952 Fax: (772)-8787656
E-Mail: a
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
4
.I certify that.no work or installation has.commenced.prior to the issuance.ofa 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
commencingwork or recordin : our Notice of Commencement..:
_ Signature of Owner/Lessee/Agent
Signatdre.of:Contrac or/License Holder
STATE OF FLORIDA
COUNTYO.FCOUNTY
STATE OF FLORIDA SL
OF
The for oing instr ment was cknowledged be ore me
this day of - 20
The forgoing ins rument was acknowledged before.(ne
this day of 1 eA 20 by
(Name of person acknowledging)
(Name.of person. acknowledging)
(Signature f Notary Pub '' State of Florida)
(Signatur o Notary Public= State of Florida) '
Personally Known OR Produced d
Personally Known V OR P o c a
Type of Identification ® D -
Type of Identification Pr
_. �'= Commission # GG. fi2174
A.- # GG 62174;
Commission No. -: -' '= My CifPsgel);sion Expires
.Commission
Commission No. " '= ,4 ssion Expires
,,,,a ��.• January 1.4, 2021
;; January 14, 2021
Revised 07/15/2014.
SUPPLEMENTAL CONSTRUCTION_t(EN.LAIN,INFORIVIATION:
i DESIGNER/ENGINEER: . _ Not�A licable :...
pp
' MORTGAGE.COMPANY;
Not Applicable . .
Neme:.sw�,oeniasw�EN .
Name:.
Address: a,icocoNurave.
Address: --
City:. STUART State: F�
City:
State:
Zip: sasss . Phone: t»zjza�-szes�
Zip: Phone:..
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
_Not Applicable .
Name:
Name:
Address:.
Address:
City:
City::
Zip: Phone:
Zip:. phone:
REVIEWS:
FRONT:
ZONING
SUPERVISOR.
PLANS
VEGETATION
SEA TURTLE
� MANGROVE:.
COUNTER
REVIEW
REVIEW-
REVIEW .
REVIEW.
REVIEW.
REVIEW-: -
DATE
COMPLETE
INITIALS..
. .