HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4, � Permit Number:
.. C� v
Building Permit Application SEp
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
X1@@TP`OS�ED�IWMPR�OAUEMENT LOCAT,iO'Nr a "g� A� � ' � �
.� m« ... .e.h.. 3n :F.,,�
Address: 5 NOGALES
Legal Description: SECTION 261 TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No: 5
Site Plan Name: SPANISH LAKES ONE Block No.
00
Project Name:
Setbacks Front-23' Back: 48' Right Side: 15' Left Side: 13'
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM [2 BATH / 2
GARAGEs'. .
CONSTRUC�TION'IiNFOR(VIATION " s T
I
itiona wor to De n e orme under this permit — c ec all �apply:
0 HVAC . Gas Tank Gas Piping Shutters_ Q Windows/Doors
�✓ Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction. 2,324
Cost of Construction: $ $58,000
Scl. Ft. of First'Floor::2,324
Utilities: 0sewer[]Septic -Building - Height:
U1/NER%LESS'EE"�
CONTRACTOR''_
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8060 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
City: Port St. Lucie State: FL
Address: 8000 South US Hwy. 1 Suite 402
Zip Code: 34952:.. Fax: (772) 878-7656
City: Port.St..Lucie . State: FL. .
Phone No. (772) 878-5513
Zip Code:. 34952 Fax: (772) 878-7656
E-Mail:
Phone No. (772) 878-5513
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License: CGC03599 .
V46r
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: Not Applicable .
Name: BradenBBraden.
Name:
Address: 417 Coconut Ave.
Address:
City: Start State: FL.
City: State:
Zip:- 34996 Phone: (772j297-9258
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable .
Name:
Name:
Address:
Address:
City:
City:
Zip. Phone:
Zip: Phone:
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.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, inall 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 l 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 recordings Vour Notice of Commencement.
s . .
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA COUNTY OF C, COUNTY OF S':. {-k C- F
The forgoing instrument was acknowledged before me The forgo* instrument was acknowledged before.me
this 2!_RRay of lA'` CG-use 20 l6 by this day of _ ALL C-u s j 20 by-
(Name of person acknowledging) -(Name of person. acknowledging)
(Signature of'Nota ublic-'State of Florida) (Signature of Not Publio- State of Florida )
Personally Known ✓ - OR Produced_ Identification Personally Known OR Produced Identification
Type of Identificiti rjProdUced Type_ of Identification pAigillirl
DOROTHY ANN BASKIN .����"��.
�„i � r
pRV P"�{�i DOROTHY ANN;AIIRN
Commission No. - : ��a °e�'% otary Phl('8eal tate of F(orlda y�
Commission No. o : Notar Imp. StadaMy Comm. Expires OcY.2,016 5• • My Comm. Expires 16 ion. # FF 0]5226GomBrnded Through National Notary Assn. 5nndrd Through Nationasn.
Revised 07/15/ 0.14-•ate
REVIEWS:
FRONT:
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW.
DATE ..
COMPLETE
1
INITIALS