Loading...
HomeMy WebLinkAboutBUILDING PERMITT APP - 12 SAN ROBERTO ALL 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 PP RMIT APPLICATION FOR: Building OPOSED IMPROVEMENT LOCATION: Address: 12 SAN ROBERTO Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E Property Tax ID#: 1301-111-0001-000-5 Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front 34' Back: 33' Right Side: 40' Left Side: 15, DETAILED DESCRIPTION OF WORK: SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOMS - 2 BATHS - GARAGE NO SLAB WILL BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: Additional work to De nerformed under this permit—check all apply: ❑_✓HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors ©Electric ❑✓_Plumbing Sprinklers Generator Z Roof Total Sq. Ft of Construction: 2,108 Sct.of First Floor: 2,108 Cost of Construction: $ 58,000 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING DEPARTMENT Name: MATTHEW LYLE WYNNE Address:8000 SOUTH US HWY. 1 -SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION 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: 08898 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: BRADENseaADEN Name: Address:417COCONUTAVE. Address: City: STET State: FL City: State: Zip: a4sae Phone: (772)2e7s2se Zip: Phone: FEE SIMPLE TITLEHOLDER. Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 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 commencingwork or recordin our Notice of Commencement. _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Sir. 1�� COUNTY OF w 14 A.r_:o. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this"day of V)n� 20 2-Lby this /4 day of Y'� 20 aJ by MAty-1 ew LYLE Ny^jriE ynn-'; IFw LYcg IyymvG (Name of person acknowledging) (Name of person acknowledging) (Signature of Not&Public-State of Florida) (Signature of No&y Public-State of Florida) Personally Known ✓ic OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced r-- Commission No. OTH BASK!N Commission N ' ;u""°`•'.e;': DOROTHYAN MY COMMISSION#HH 04593 rr. .;o" COMMISSION#HH045443 ECP I ..,.°F itge? BondM ThN °�Y N Public UrMenvriters Bonded Thru Notary puylic Urgeiwriters RCV16Cd.A7/1 _ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS