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
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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
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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
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