HomeMy WebLinkAboutPERMIT APP - 1 RIO DE PALMASALL APPLICABLE INFO MIDST 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
PROPOSED IMPROVEMENT LOCATION: I
Address: 1 RIO DE PALMAS
Legal Description: EAST 1/2 OF SECTION 1 = TOWNSHIP 348 - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 20' Back: 29' Right Side: 25' Left Side: 15131,
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 1 BEDROOM - DEN - 1 1/2 BATHS - GARAGE
CONSTRUCTION INFORMATION:
bona work to e e orme under tispermit—checka apply:
ZHVAC �GasTank ❑Gas Pi, In Shutters QWindows/Doors
10 Electric 0 Plumbing []Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: 1.750 SC l -F-t.I of First Floor: 1,750
Cost of Construction: $ 58,000 Utilities. Ft
❑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
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:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name:
Addre<
--
BRADEN & BRADEN
5: 417 COCONUT AVE.
City: STUART
Zip: see
State: FL
Phone: (772)2s7-e258
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5T' COUNTY OF�Bt-. �n
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I I day of fT 20 _2\-_4 by this l 1 day of Me� 20 a// by
C—yGgr iilyv'UrF rrr797TWCW LYLE GyYNNE
(Name of person acknowledging) Q (Name of person acknowledging)
(Signature of No Public-Stateof Florida ) (Signature of No ublic- State of Florida )
Personally Known ' _ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
HH 045443
Commission
MY COMMISSION #
Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
DATE
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INITIALS