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HomeMy WebLinkAboutPERMIT APP -subs and 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: 28 GRANADA SOUTH Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e Property Tax ID #: 3414-501-1701-000/9 Site Plan Name: SPANISH LAKES ONE Project Name: Setbacks Fr 20'1/2" Back: 20'1/2" Right Side: 13' Left Side: 13� DETAILED DESCRIPTION OF WORK: Lot No. Block No. REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOMS / 2 BATHS / GARAGE NO SLAB TO BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: Aa bona work to e e orme un ert is permit—checka apply: ❑_HVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors loElectflc ❑✓_Plumbing []Sprinklers Generator ZRoof Total Sq. Ft of Construction: 2,124 Scl —F't-.I of First Floor: 2.124 Cost of Construction: $ $58,000 Utilities:Sewer 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) 878-7656 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-Mail:-cheri@wynnebc.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: chen@@wynnebc.c0m State or County License: CGC03599 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Baden&&aden City: SWen Zip: 34996 417 Coconut Ave. Phone: (772)m7�258 State: FL. FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: _ Address: City: Zip: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable _Not Applicable 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. —Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sT LUCIE STATE OF FLORIDA COUNTY OF ST LUCIE The forg 'ng instrument was acknowledged before me The forgoing instrument was acknowledged before me thisdayof Y?lA.ecq 20 JLby this A] day of AR.eC- .20 J4 by MATTHEW LYLE wYNNE MATTHEW LYLE WYNNE (Name of person acknowledging) (Name of person acknowledging) (Signature of No Public- State of Florida ) (Signature of N Public- State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification _ Type of Identification Produced Type of Identificati induced Commission "" noROTHYANI)CIN yam'-.�'-. Commission No.. : DOROTHPASKIN COMMI ION -' MY COMMISSION # HH 045443 _ = .o;_ # HH U45443 EXPIRES: OctoberZ _ 2024 "Fo'dFc4"< Bonded Tha Notary Public Undenmters hc Undemb, PeVLRed 07 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT S & W ELECTRIC, INC. have agreed to be (Company Namedndividual Name) the._ELECTRI-CIAN _Sub -contractor for WYNNE-05VELOP_MENT CORP. _-- --- (Type of Trade) (Primary Contractor) For the project located at (n, r, (Project Street Address or Property Tax ID n) 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 08898 COUNTY CERTIFICATION NUMBER State of Florida, County of ST. LUCIE (j/� \ The foregoing instrument was signed before me thiy��' day of '4 �� 203l by MATTHEW LYLE WYNNE who is personally known Y or has produced a as identification. 41 ter,•+ 96W /��.- STAMP SignatureofNotary 'c DOROTHY ANN 'BASKIN Print Name of Notary Public =B0rdodThruNotWyRftU,&�_ COMMISSION EXPIRES LAWRENCE STUBBS PRINT NAME PTIOZIEVY, COUNTY CERTIFICATION NUMBER —State of Floridai County of ST. LU.CIE The foregoing instrument was signed before me this day of �iriZV\ 20Dk by LAWRENCE STUBBS who is personally (mown Y or has produced a as identf'i�ca/ti� onnn.., b f lye. \P�STAMP mreofh0 ruy u� Print Name of Notary Public LAURAR.CUBSEDGE commission # HH 013099 Expires October 21, 2024 Bonded Thru Troy Fain Insunnce9W05-7919 CO€.dI`iTY PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUBCONTRACTOR AGREEMENT AQUA DIMENSIONS have agreed to be (Company Name(tndividual Name) the PLUMBER Sub -contractor for WYNNE DEVELOPMENT CORP. (Type of Trade) (Primary Contractor) For the project located at � v C C-c,' C' Address or Property Tax ID 4) 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 (Qoamer) MATTHEW LYLE WYNNE PRINT NAME PRINT NAME 08898 18628 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Mori" Countyof ST. LUCIE ST. LUCIE State of Florida, County of � 0 The foregoing instrument was signed before me this°' day of The foregoing instrument was -signed before me this � day of zP't �Rc L�ya1s` .1•��� zu by � \ .�1\� v who is personally known K or has produced a who is personally knowu)ZLor bas produced a as identification. rr11 Signature of Notary �ubLc DOROTHYANN BASKIN Print Name of Notary Public DOROTWNrNBAMN MY COMMISSION#HH045443 z>� P EXPIRES: oEXPIRES:OcyeZ2024 r tti„ Bonded Thru tlofalypublkikgenattrya tification. Men STA P .t I -� �/ STAMP Signature of'Notary Public RHONDALAFFERTY Print Name of Notary Public RkONi]A LAFFER Y MY CODAMISSION # GG058720 EXPIRES January 08, 2021 LR�MIT # ISSUE DATE COUNTY F L O R 1 D A the PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Comfort Control of St. Lucie County, Inc. have agreed to be (Company NamelIndividuat Name) (Type of Trade) For the project located at Sub -contractor for Winne Development Corp (Primary Contractor) (Project Street Addressor Property Tax ID *) It is understood. that, if there is any change of statua regarding our participation with the above mentioned. project, the Building and Code Regulation Divisibn of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (QU&Ncr). Matthew Lyle Wynne PRINTNAME• COUNTY CERTIFICATION NUMBER State ofFtorlda, Cavity o fCJ�—•�V C,. N-0— 1C\ The foregoing instrument was signed before me thisT � day of . ,),-Al,,C, .w�\byq'AsP who is personally known Zor has produced a as Identification. 10&2% 4L Signature of Notary PnbGe l ogo:4yCJ�ls ASe�raJ Print Name of Notary Public DOROIHYANNBASKIN CAMHSSIoN # HH 045445 :,O'ctoborZ210'24' ''•.FOfy�Q.` • Mn,wV Thru Nafary PUblic Undmfta, Revised I1/16f2016 8288 COUNTY CERTIFICATION NUMBER State of Florida. County of4�,— The forevoinx insframeat wag signed before me thin-V day of who is personally (mown v or has produced a as identification. STAMP iCl</ 6Gn (i/ ��. STAMP Siguature of Notary P95P . (io 20 ad N dY NNRSKi� Print Name orNofary Puh c .SA . . DOROTHYANN:2�2,4 MYCOMMISSKIN# '+•ro EXPIRES: Octobe •?FOF pPS RGNMBd TiYn..vvv, FlIEI L66-J Z©aU/ZOOOd bLO-i 999L8L8ZLL daoo suipjin8 auuAM -Wodj 96:Z6 9L,-6©-ZL PERMIT„ ISSUE DATE- r PLAN NG & DEVELOPMENT SERVICES BatRding &:Coda Compliance Division BIUMINE PERMIT SUB-CONIAkOOI WbA EMENT the Roofing Sub-contractot.for Wynne Development Corp.: (Type of Trade) (Primary Comiactor) For#he project located ad C-)�ct � Q Ft is understood that, if there is any change of status regarding our participation with the above mentioned' goject, the.Buiiditig and Code Regulation Division CC& Lucie County will be advised. pursuant to the. ftiing of a Change Of Sub -contractor notice. CONTRACTORSIGvMc(1xE(q wifier) Matthew LYle Wynne FRiN9'NAME- .. ppf o'g COUNTY GERTMCATJ01i1�F'NUIN`MER State ofFlorula, County ot4 •,VC+\.Q Theforegoirg::insiromeniwass'ip`ed�t`iefon melbi,� I dayof who is personally (mows ^ or has produced:a as identification.. 160SOk° STAMP Sigoatare of Notary P c DOROTHYANN BASKIN MY COMMISSION # HH 045443 EXPIRES: October 2, 2024 -.SU&C4s\'7R"h�� STGYiI (Qualifierj:: Brian Maloney 1W51 NAME _crr.r COLt1 CERTIFlC_4'fIONA'Ui4iBER. State of Florida, County -Theforegoing instromeatwnssigned before me this C` Hof: who is personally lmo" -./ or h'asTnoduced al as�iiddeenttification. 'nJ Sae^vatureof7Yomry�o li0 - DOROTHYANNB�AUN MYCOMMISSION # HH 045443 EXPIRES:October2, 2024 Ki.j -ST. LUC'mi-couNry bra. AMMM the wademigned, am the owner of the fono *bad property -oil Qec C� C\ 34•011 wing deacd Part 44 9 4 for which I have applied to St. facie C0untY for a Final Deve'lopment Pem,*j, . In acce; this F"'al DeVe10Pmeht?emiit, Nmmber acknowledie that as own� the above described property, and in accordance, with. Section 7.04.01 (D), St..tume Cot Land Development Code, I Shall be responsible for "AA4" u'j.'z assuring adeq ate immediate cL b t ' -ge 0,pity g"a , ", ir�6de ' --A a tbi"eZn" Zo �r g or or_ at -ntm in 170 �j ble to provide ill no , adverselyaffect ject the Imm Property Owner -Name Property Owner Sigaature Dwe 3TATE0FFWMAA.=NW&AL- �Lu4bie 2q:24 sy Mat.the-v L31-le 31-yn Ize R VWOWAS PRDWCL20 AS EDEM-WICA770M MNATUM07140TAPY NOTAPMOM THE (SEAL) 4..m DOROTHYANN BASKIN MY COMMISSION #HH 3 IRES:: October 2,2024 ThmNohry brjc6me of in w:-: