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HomeMy WebLinkAboutPERMIT APP. - 12 FLORIDAALL 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: 12 FLORIDA Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e Property Tax I D #: 3414-501-1701-000/9 Site Plan Name: SPANISH LAKES ONE Project Name: Setbacks Front 23' Back: 50' DETAILED DESCRIPTION OF WORK: Right Side: 24' Left Side: 16' Lot No. Block No. REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 3 BEDROOMS / 2 BATHS / GARAGE NO SLAB TO BE BUILT OFF REAR OF HOME LtJHVAC I_ I Gas Tank ©Electric Z Plumbing Total Sq. Ft of Construction: 2,275 Cost of Construction: $ $58,000 this permit — checKall apply: Gas Piping _ Shutters Q Windows/Doors 11 Sprinklers El Generator Z Roof S�Ftj of First Floor: 2,275 Utilities: I-1Sewer 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: ched@wynnebc.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: cheri@wynnebc.com 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: DESIGNER/ENGINEER: _ Not Applicable Name: eradee&Braden MORTGAGE COMPANY: Name: _ Not Applicable Ad d ress: 417 Coconut A-. Address: City: st—t State: FL. Zip: Bases Phone: (772)287A258 City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ 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 prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in convict with any applicable Home Owners Association rules, bylaws or ano 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 STATE OF FLORIDA COUNTY OF ST LUQE The forgoing instrument was acknowledged before me thisoki�dayof inAXC41 . 20 y by STATE OF FLORIDA COUNTY OF ST WCIE The forgoing instrument was acknowledged before me thisdayof {ry%R7CC44 .20 1/ by MATTHEW LYLEMYYNNE MATTHEW LYLE WYNNE (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota ublic- State of Florida) (Signature of Nol&ly Public- State of Florida ) Personally Known X Type of Identification P Commission Revised 07 OR Produced Identification MY COMMISSION $ RH 045443 POW Underwriters Personally Known x Type of Identification P Commission No. OR Produced Identification DOROTHYANN BASKIN October2,2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS PERMIT # 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 Subcontractor f�WYNNEJaEYELORMENTCORP.- (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) 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 tbi� day of ^.203 by MATTHEW LYLE WYNNE who is personally known ➢9 or has produced a as identification. r`U-C/ 4, �2®✓'a STAMP Signature of Notary 'c DOROTHY ANN BASKIN Print Name of Notary Public DOROTHYHIU48gSpN ,:..... ,.I MY COMMISSION#HH045443 .'+,E.....o°= EXPIRES: Odobet2.2024 •••o°,v ,.• Bonded Thru Notaypuble Underuti(em LAWRENCE STUBBS PRLN-f NAME COUNTY CERTIFICATION NUMBER -- - -State ofFlorida, County of ST. LU-CIE __ The foregoing instrument was signed before me tbisC'� of -kCVtl�\ 20�Di by LAWRENCE STUBBS who is personally known 3Lr has produced a _ as identification. An&C, C� '-Signiture of Notary Public Print Name of Notary Public LAURAR.CUBBEDGE Commission # HH 013089 •;o; Expires October 21, 2024 ±Fij i; g• BwdedTlw Troy Poin lnswdnce8093851019 STAMP PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT AQUA DIMENSIONS have agreed to be (Company NameUchvidual Name) the PLUMBER Sub -contractor for WYNNE DEVELOPMENT CORP. (Type of Trade) (Primary COntiaetor) For the project located at c or Property Tax 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 As0.9VSM11QXA46URE(QuaMer) ROBERT LUDLUM PRINT NAME 18628 COUNTYCERTIFICATIONNUMBER Stale of Florida, CountyST. LUCIE County of State of Florida, County of ST. LUCIE ^p The foregoing batromeut was signed Won me thisot ` day of The foregoing instrument was signed before me this G ` of - eny�l 2&by who is personally (mown �r or has produced a who is Personally knowoV or has Produced a asiid\entification. /� ( fit-rl AQ /cam.. Signature of Notary Public DOROTHYANN BASKIN Print Name of Notary Public v"°"`• DOROTHYANNR4MN MYCOMMISSION#HH045443 EXPIRES: Oo oWb , 2024 '%';;oFi?ar BOnded TlW Nol2ly pilMkUadelµ7i(ela firetion. MMCL- STAMP 0 1 1 STAMP Signature of Notary Public RHONDALAFFERTY Print Name of Notary Public RHONDA LA.FFERTY o. MY COMMISSION # GG058720 y;�•;i ,;yc EXPIRES January 08, 2021 PERMIT # SSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code. Compliance Division UMDING PERMIT SUB -CONTRACTOR AGRFFUENT omfort Control o'f S£. Lucie County, I (Company Name4ndividual Nauie) have agreed to be the HVAC Sub-cbutractorfor Wynne Development Corp. (Type of Trade) (Primary Contractor) For the project located at (Project Street 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 pursuatit. to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Quarificr). Matthew Lyle Wynne PRINT NAME COUNTY CERTMCATION NUMSER Stere ofPrarida, County oP�•�V �—�� � O \ The foregoing instrumtntwas *,bed before me t ' � dayof �}..i r"C,"%r\ .20�bby���cC`C�.`�•-��"\\� who is personally known Zor has produced a as ldeutlCication. Signature or Notary Pt cc " " 0 ito7lWy e�-t'Mrd J�7Fa-SK[oJ Print Name of Notary Pabtic ,,;... DOROTHYANNBASKIN '.: MY COMMISSION # HH 04SU3 `±op Bonded EXPIRES: '.cWq PublkUndort ftm Revised 1111U2016 8288 COUNTY CERTFPFCATFON Ir"UMBER State of Florida. County of� The foof a instrutuent was signed before me this�� day of re �j-\r`at'11t1 .2R7,�/byv�Q�•«/�. Z�o.�M.Q_: v�.i_c� . who is personally known V or has produced a as identification. STAMP' a Q - UI�yLG' . STAMP ftoatatureofNotary P491 IJ/% O 90,rl-1 y AV IV 07f}SKt- Print NameofNotary Public DOROTHYANNBASKW MY COMMISSION#HH 0l53 EXPIRES:October2,2024aIJadnd leu Noolay . l'ublictittda$ L66-j Z000/ZOOOd bLO-1 999L8L83LL d.4o0 Buipp n8 auuAM -Wodj 9L:ZL 9L,-60-ZL Me TY F 'E '6= "R T D A PLANNING & DEVELPMENP SERVICES Building,,& Code Compliance Division BUILDING, PEII MT SUB-Cobirria OI AY,ItfE14EN7 the Ro°frog Sub-contractorfor Wynne Development Carp, GypeofTiade) (Ihimary Copt aetor) Forthe 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 Cotu)ty will be advised pursuantto the firg of a Change of Sub -contractor notice. CONTRACCOR SiGNATURE(Qaamfi r)' Matthew Ille.Wynne PRWNAME n zRo:s C 8A- CERTMCATAON IsWA ER SbteofirMft County of-a��X� %G%-e Theforegoine;in b--twassignedbeforeme=tlayof who is personally known 'l or has produceda; nsideutifiration:. —�"—otary '�i, c _ GLIIG... STAMP Srvenarore-of Notary ¢c MY COMMISSION # HH 046443 EXPIRES: Odober 2, 2024 Boded ihni NCiary PUMC UndanrNd .SUB-CO�T1L4. STGY�iT (Qoaldier):. Brien Maloney F-R N i -NAME rr.�i�rihs eo>,�rrrCERr>�CATtoN;>ruMREx Srete of Florida;Couuty of��VC.�� The foregoius nstrnmenrwassigned Woreme ttiis�-G` �-lc:/ry�c� ca:� ,t`n�n�Cral-j who ispersoaaw known V o'Ussprddueeda as identification; . . 4-pm, A k- 1111 SrematureofNotary�,o & LvrwrMYANN WKIN MY COMMISSION pMH 045443 EXPIRES:Ogobe72, 2024 Ki,' ST. LU0-E:*C0UNrf AY Mvili PC 214982-5652 792-462-1553 1, Cbe u;AdeMigned. am ths., A,� the following Wing descri, b4dproperjr. \va\ e'Cc' 0-h 26 2awre'shio _36-s Ran 408 Max for which I have applied to St Lucie County for a Final Development pwmt, A accep this Final DeVeloPment.Permk BP Number the above described pro�erL)% and in I acknowledia that as owne Laad DevelopmentaccOrdancevvith.Secziaa7.04.01(.0) St..tu *' Cot Code, I shalll be rasp I ale ""b" f0.1 assuring adequate drainage so that Immediate con=a.ni.ty IM.- L NOT be adversely affected, IfUrftracka Wledgeghe ­0 .1goruabia to jToV..ia Y, SE Lucie county -is neither-pblij Or, in d"ay loml- Sde46b�:drainage . cff my 0 x Or-mai 6e ir will not adversely affect te c0indinnify. -Ahi Property Owner Name Property . Owner Signature - DM S7'AT60FPL0PMA,C0UNSYbF=-- �Lubie ACR110WLE'0CSD'SEfoPBMzTMS IDAYOF--20A �4cvl 13Y 14 t- It" VIGNATUMSOP TAjY TYPt0,.RiMTNAM"60FMOTARY MOTARYPURLIC TIME . COMMYSSION Numnp DOPOTHYANN BASKIN My COMMISSION # HH 645443 EXPIRES: October 2,2024 Bonded Tt=Notary Public Underwritem in