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HomeMy WebLinkAboutBuilding Permit App, subs filled lands affidavitALL 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: 50 HUARTE Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e Property Tax ID #: 3414-501-1701-000/9 Site Plan Name: SPAN15H LAKES ONE Project Name: Setbacks Front 26' Back: 27' Right Side: 76' Left Side: 15, Lot No. Block No. DETAILED DESCRIPTION OF WORK: I REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOMS / 2 BATHS / GARAGE NO SLAB TO BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: ItIona work to De ertormed under tispermit—c —check a apply: ZHVAC Gas Tank ❑Gas Piping Shutters Q✓ Windows/Doors © Electric 0 Plumbing Sprinklers Generator 21 Roof Total Sq. Ft of Construction: 2,108 Cost of Construction: $ $58,000 S Ft. of First Floor: 2,108 Utilities: Sewer O Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: Matthew 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) 878-7658 Phone No. (772) 878-5513 Address: 8000 South US Hwy. 1 Suite 402 City: Port St. Lucie State: FL Zip Code: 34852 Fax: (772) 878-7656 Phone No. (772) 878-5513 E-Mail:-cheri@wynnebc.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Cheri@wynnebc.corn State or County License: CGCO3699 If value of construction is $25W or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: E-d-&8adeo MORTGAGE COMPANY: Name: _ Not Applicable Address: 417CcconulAw. Address: City: Swan State: FL. Zip: 3 eec Phone: (7u)287-82se City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced priorto 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 commencing work or recording vour Notice of Commencement. s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF Sr LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this,2rdayof M,4jCCA.1 ,20Alby this _2S—day of -nA/CCAl .20a/ by MATTHEW LYLE4MNE MATfHEW LYLE WYNNE (Name of person acknowledging) (Name of person acknowledging) (Signature of Not ublic- State of Florida) (Signature of Not& Public- State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced myco.. DOROTHY KIN '�N° • `'•• �w Commission No. =i' , Commission N .: �?"•: DOROhiYAtJN�I MMISSIWI�#?iH 045443 • ' - MISSION # HH 0454J •r ,p;d;' EXPIRES: October 2, 2024 a?:" EXPIRES: October2_ mme ".�".I 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) -_ELecTRICIaN _ dub-contractoafNNEI)EVELOP_MEN2-CORP.--- (Type of Trade) (Primary Contractor) For the project located at F-37 � Q (Project Adoress 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-CO\TRACTOR SIGNATURE (Qualifier) MATTHEW LYLE WYNNE PRINT NAME A5 COUNTY CERTIFICATION NUMBER State of Florida, County of ST. LUCIE The foregoing instrument was signed before me thi�� of 2 �s 201( by MATTHEW LYLE WYNNE who is personally known Y or has produced a as identification.Y y y1 yV1 STAMP Signature of Notary 'c DOROTHY ANN 'BASKIN Print Name of Notary Public '•t'"-r";. DOROTNYANNBASfGN *: MYCOMMISSION#HH045443 "•.EO;ROPV EXPIRES. OUober2, 2024 Bonded ilau Notary PuUkUndennitera ev LAWRENCE STUBBS PRINT NAME 29442 COUNTY CERTIFICATION NUMBER -- -- --State ofFlorida; County of ST. LUCIE._ - _ The foregoing instrument was signed before me tbisC�� of \ 2oDk by LAWRENCE STUBBS who is personally known V or has produced a as identification. `1Sgn5ture of Notary Pubhc Print Name of Notary Public LAURAR.CUBSEDGE Commission # HH 013089 Expires October 21, 2024 BondedTiru TMY Fain Insuonw 800-%&7019 STAMP F RMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division AQUA DIMENSIONS (Company Name/Individual Name) the PLUMBER BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for WYNNE DEVELOPMENT CORP. (Type of Trade) \ � (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) MATTHEW LYLE WYNNE PRINT NAME 08898 COUNTY CERTIFICATION NUMBER .SUB-CQ C - SIGNATURE (Qualifier) ROBERTLUDLUM PRINT NAME 18628 COUNTY CERTIFICATION NUMBER State of Florida, County of ST. LUCIE State of Florida, County of ST. LUCIE The foregoing instrument was signed b`efo�re` me th isv'� day of The foregoing instrument was signed before we this `day of .20, 20by�``�..Vti�-..L�N*� who is personally known V tar has produced a who is personally knownV—or has produced a as identification.' Signature of Notary t5blic DOROTHYANN BASKIN Print Name of Notary Public ;ou`•"•°'.^_�; DOROTHYgMMB,4SKIN x: ;x' MY COMMISSION#HIi045443 ;,�,•...:a,: EXPIRES:October2,20?A 'FF:''• BOnded ihnl.Nolary Pubik llflderyq�iBla a " entification. a STAMP STAMP Signature of Notary Public RHONDALAFFERTY Print Name of Notary Public 1 •i. ova, R,fTONDA LAFFE:RTY I MY CO'AMISSION # GG058720 EXPIRES January 08, 2021 LF�ZMIT# ISSUE SATE PLAlVNL G & DEVELOPMENT SERVICES Building & Code Compliance Division Bu-mDING PERMIT SUB -CONTRACTOR AGREEMENT Comfort Control of St. Lucie County, Inc. have =eed'tobe (Company Narawladividual Name) the HVAC (Type of Trade) For the project 16cated at Sub-contractorfor Wynne Development Corp. (Primary Contractor) Street Address or property 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 COUNTY CERTIFICATION NUMBER Stare of Florida, County G \ The foregoing instrumcn! was agreed b�etaysme thi� � day of . /ry who is personally known V or has produccda as ideuddiication. a4kG . Signature of Notary Pu6qc D�o_i t4Y_ i�T9l�o lL7la-Se�t..� Print Name efNotary Public DOROTHYANNSASKIN 41 MYCOMMISSION#HH 095443 EXPIRES:Ogober2,2024 ••.go:v;Eg. bondednvuHoinywbueUnd.,nitals Revised tulenate 8288 COUNTY C=T=CATION NUMBER .... state of Florida. County The for eoieg instrument wag signed before an, thisaS Say of %v�0.C�..J�. Zn a't-A who is personally (mown V or hag produced a ' ag identi@cation. � �J //�� STAMP O r L(�Yw Cil/G—. STAMP Signature of Notary P491 Vo ye0 ;7.f N 1�i,�N 9A� 'k: Print Namcoral'otaryPuh c Ril 'DOROTHYANN BASKIN MY COMMISSION#HH045443 EXPIRES: October2,4'c'rF�$c:' OaMedTittuNclafyPubttuDMetwdteta- L66-d ZOOOIZOOOd bLO-1 999L8L8ZLL daOO Buipp ng auuAM -WOHA 96:ZL 9L,-60-Z1 PERMIT # T ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building,& Code Compliance Division Bumu,iG PERMIT SUB -CONTRACTOR AGREEWNT the Roofing Sub-coatractorfor Wynne Development Corp... (Type of Trade) (Primary Contract©r) Forthe It is understood that, if there is any change of status regarding our participation with the above: mentioned pngect,'theBuilding and Code Regulation Division of St. Lucie County will be advised pursuant to the filing o#''a Change of Sub -contractor notice. CONTRAt:7UR$1GNA.TURE (Qaalifiec). Matthew Lyle. Wynne PRMNAME O,R R-AiR COUNTYCERTMCATJQNNUh�ER-. - - state ofHorida,Cmmtyof •� \• QC+\.e TAt foregoioe_instrument was.sigmed before me Wise of �R-t�'\ I%n•�•'C6 es-%l.'rj\R i-�--i nv-R who is personally &nova '`t or has produeeda 'nidentifieadoa.. ayzS.�(� aTAMP ��eamre-ofNotaty 't DOR07HYANN BASWN MY COMMISSION# HH 045443 EXPIRES: October 2, 2024 Reyised-1111612016.' .SUB-COr'T$AG 5iGY�tY (QoaliSer):. Brian Maloney FRLNT NAME. 3Q6513 COUNTY CERTIFICATION N' MI ER - state of Florida, County G`The foreeousinstrument wsmAqse q who is personalty Imowo 1//of hasprodeecda 2ssi`ddee/an_ tifien: atior I/1�• /nJ,,�,N .. .. Sy�natureafNotary MY COMMISSION#HH 045443 E MES:O*W2,2024 'ST. LUCWCOW., T CR FL 1, the utdQCSigned am Parma -9L= —34-14-5ov-' 7 he ow.ne-f Of tie fPROwingdescribed properly: SV Ra for whicb lbave applied to St. Inde County for a Fine! DeveloPment Pernma 1-naccep this Final Development. Pernlit, Bp Number the above described pro�erty, and in acc' ac-kaowledie that as. owne Land Developmeu accordance_ vVith. Saction 7.04.01 (D), Sz_tum Cot immediate c t Cdde, 1 shall be responsible for assuring adequi.te dtainage so that Onnnunit,Y —WML NOT be adversely affected. I further Acl-, edge ghe 'or el this. 4 Lucie . County . nowl tins gj'S�Tn L g »orjS n -filer of to neither iX provide for, any?oral, adequate: dra, no, p 0- 0 Liable affect th coinrht�T*fty. _-,2ag.e�off matth-e-w Ly e Property Owner Marne property . Owner Signdture Daft STATE OF FLOPMA. CoU1-r6P-Lr -�Luti e ACKK0WLE0C,'e08EF0p pZMTMS 20 By tea tthRy 423iab mynrm my MO-W ZQM-FM? 4S Zf0 MAS PiZOOMCCO -DbR-a-r-py AlvIv I.M . L 0 R HAN80FROrARY (SCAQ DOROTHYANN WKI MY COMMISSION# HH 045443 EXPIRES: October 2,2024]. M i."I" 'Bonded Ttuu Notary Public underwrItem e 408 0 .of ICY he in