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HomeMy WebLinkAboutPERMIT APP - 6 SANTE FEALL 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 I I PROPOSED IMPROVEMENT LOCATION: I Address: 6 SANTE FE Legal Description: SECTION 27 / TOWNSHIP 36S / RANGE 40E Property Tax ID #: 3427-111-0002-000/5 Site Plan Name: SPANISH LAKES Project Name: RIVERFRONT Setbacks Front23' Back: Right Side:3V Left Side: 12'3" DETAILED DESCRIPTION OF WORK: REPLACEMENT HOME: SINGLE FAMILY RESIDENCE 1 BEDROOM / DEN / 1 1/2 BATHS / GARAGE NO SLAB TO BE BUILT OFF REAR OF HOME Lot No. Block No. CONSTRUCTION INFORMATION: tion al work to e e orme under tispermit—checka apply: Z✓ HVAC E] Gas Tank ❑Gas Piping Shutters Q Windows/Doors 1zElectric ❑✓_ Plumbing 05prinklers Generator Z Roof Total Sq. Ft of Construction: 1,750 SqI —F—t.� of First Floor: 1,750 Cost of Construction: $ 58,000 Utilities:cnSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION 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: FIL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: State or County License: 8898 ,A vmuc m conscrucziun js pcouu or more, a Ktcunui:u notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: UtJI(7 N t:K/ L Nk3 l N ttK: _ Not Hpplicaow MORTGAGE COMPANY: X Not Applicable Name: BRADENaaRADM Name: Address: 417 COCONUT Ave. Address: City: SMART State: FL City: State: Zip: aosss Phone: 972)2B7-82e8 Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Zip: 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 commencing work or recording your Notice of Commencement. Signature of Owner/ Agent/ Lessee I Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 7-7_ "cry COUNTY OF '9—&. "C re The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3Sdayof Y"AKG-1 2034 by this fdayof 20 'lg(by M A-r1W&W L Y c, e wYNN Ls `f%�T/NFL� L Y e-e (A)YI Ut (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota blic- State of Florida) (Signature of Nota blic-State of Florida ) Personally Known f/ OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 DOROT}}��Y��ffyy��'iV BASKIN r COMM(S i6i� 4 HH 045443 EXPIRES: October 2, 2024 Personally Known ✓OR Produced Identification Type of Identification Produced Commission No. COMMISSION $ HH 045443 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 Name/Individual Name) the ELECTRICIAN _ -Sub-Contractor for-WYNNE_DEVELOPMENT.CORp. (Type of Trade) (Primary Contractor) For the project located at (Project Street Address or Property Tax ID r) 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 The foregoing instrument was signed before me thiX day\ of by MATTHEW LYLE WYNNE who is personally known Y or has produced as identification. LL��&14 k� Szgaatureor1NomzyPCc DOROTHY ANN BASKIN Print Name of Notary Public 'W- - -4.k, DOROTHYANNBASgN pi M.MYCOMMISSION#HH045443 •m:'•S P EXPIRES: och bin, 2024 eoeti3w. Bonded ihru NotmYPudkUndcyutitoly ewr ... LAWRENCE STUBBS PRINT NAME 4 COUN TY CERTIFICATIONS NUMBER --—StateofFlorida, County of ST. LU.CIE__ The foregoing instrument was signed before me thiWdly of 0T_61\ 20DD by\ LAWRENCE STUBBS who is personally (mown 90 or has produced a as ident Mention. STAMP ������8����� ig mre of Notary Pubhc Q Ua „ a Print Name of Notary Public �e ^•. LAURAR. CUBBEDGE Commission # HH 013089 Expires October21,2024 +`��p; 9• Bonded Ra Troy Fain Insuanm 6063857919 STAMP CO€.3F�dTY ." PLANNING & :DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT AQUA DIMENSIONS have agreed to be (Company Name/Individual Name) the PLUMBER Sub -contractor for WYNNE DEVELOPMENT CORP. (Type of Trade) (Primary Contactor) 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(Quamw) MATTHEW LYLE WYNNE PRINT NAME 08898 COUNTY CERTIFICATION NUMBER SUB-C SIGNATURE (Qualifier) ROBERT LUDLUM PRINT NAME 18628 COUNTY CERTIFICATION NUMBER State of Florida, T. LUCIE rida, County of C� State of Florida, county of ST. LUCIE ct-`c�v'\ The forego ing instrument was signed before me this day of The foregoing instrument was signed before mme-this 2 l day of 2�-( lby f•� Lti�g. �L"A% ItLk_ C� . 20� by `Z NAI �" who is personally known N or has produced a who is personally (mown V—or has produced a as iidd)enttiif�icatio`n.` I!J ' . ///�^� �� QgL6L �2Y�7 an', a/J/Gw Signatore of Notary a lic DOROTHYANN BASKIN Print Name of Notary Public 4NF ".. : ••• l)OROTHYANNBAMN so; .: MYCCVnOMeMISSION#�HeH0y45[443 ,��FOf Fl�P EXPIRES.Ocbbat2,2024 Bonded Tbru Notary PubOc Uy entifitation. STAMP t STAMP SignatureofNotary Pob6c -- RHONDA LAFFERTY PnntNeme of Notary Public f RHONDA LAFFE@2TS' MY COMMISSION # GG058720 •aC ?E;Fr;.EXPIRES January 08, 2021 PERMIT* ISSUE DATE Cou N Y F L D--R I D A' PLANN NG & DEVELOPMENT SERVICES Building & Code. Compliance Division BT7IT.,'DING PERMFr STUB -CONTRACTOR AGREEhIENT omfort Control of St. Lucie Count Name/lndividuat Name) Inc. the HVAC Sub-contractorfor Wynne Development Corp (Type of Trade) (Flinary 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 he advised pursuant. to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Quarifier). Matthew Lyle Wynne PRINT NAME. COUNTY CERTIFICATION NUMBER $mm ofriorida Coanty oP •�V �.-. �� The foregoing instrument was sieved before me t 1CAV\day of . ��.rZi� .20�\hy \j �s'...ii"\\2 >�v�i1+•s2 who is personally known Zor has produced a as identification. //1� (n{f A Signature ofNotaey 3't e t71Q �—pfY_ d�'i N !"JFa-Slrc� PahtNsme ofNotaryAcblic .: MY COMMISSION#HH0954d3 yr E 1RES:Ogober2,2024 M"' L8011dedTtntNotarypublk UOdem . Revised 11/IV2016 8288 COUNTY CERTIFICATION. NUMBER State of Florida, County of G L'L The for eoinz instrument was aigaed before me tbisas day of who is personally ]mown \/or has produced a as identifications STAMP O�ieiCi Wl�n U/�r, �,...o d' C JGs �F— . STAMP SiguatureofNotary IInn FAut Name orNofaryPuh e DOROTHYANNBASKW .. MYOOMMISSION#Mio4sw . =+, e WIRES.Oclober2.2024 jeerF:°.• 30ndai ThN Naraly Pablk Uldefa9lw L66-d Z000/Z000d tL0-1 999L8L8ZLL woo 6u i p l i n8 auuAM -Woad 9 6: Z t 9l ,-60-Z L PERMIT ISSUE -DATE PLANNING & DEMOPME1vT SERVICES Building.& Code Compliance Division W—ELDIN6PEliMT sug-Cd1VTR.4ClDRA REEti7E1VT the Roofing Sibconnactcrfor Wynne Development Corp::: (Type of Trade) (Pdntazy. oZ factor) For -the 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. CONTRAC.1'OR'SIGNATURE (Qnal�er)' Mattlmv Lyle Wynne FE xoru O R'R.9 ,q COUNTY CERTIFICATION NIMER- - State ofFlodda, County ofes— QAn--� Theforegoiogtnsaumentwassignedtiexfommedus� `.: .day.of %v�s,.�C'�b who is personally knows '`! or has produced a: :as ideutiHcatim sr-A-141? SignatunvfNodrrR c DOROTHYANN BASYJN MY COMMISSION# HH 046443 EXPIRES: October 2, 2024 Revised -i i/1612016 d7a,j;�� SU&COt'TAA SIGY - (Qu,jaer) Brian Maloney V1 \AXE E53. COUNTY CERTIETCATIOxIv'UMBER State of Florida, County The foregoing instrumentwas signed before me tmaaa42yof:. �a. t� .zo?���n Q1 s��\t�•y who is personally k own-V/of haaprodueedaas identification. a ="`= 4-9. `"' ' 'Al, - ,6�-- STAMP .Signature ofNotary oo k DOROTHykF N SASKJN Wdy COMMISSION #HH 045443 NEXPIRES:Ottobe72, 2024 i% S . Lu5CUP COu, — ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: Co � Gn 3427-111-0002-000/5 (Tax ID/Legal descrimon/Address) 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. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF , _ C /C ACKNOWLEDGED BEFORE ME THIS cl:—DAYOF //7AeC9 .20—a) BY /" A TINEW I—YC( 14VIVA14VHO IS PERSONALLY�O ME OR WHO HAS PRODUCED AS IDENTIFICATION. Ao!!.— 10Ra i dN )4,YN iVflS.(ci.J SIGNATURE OF TARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE ffi ' DOTYANN BSH45 4ubjj 43MYCOMISION#HH EXPIRES: October2,224 Borded m NDLWPUnde,,vftm