HomeMy WebLinkAboutBuilding Permit Application i
A U A'PUCAOLE INF�M(1�T.��D4N�PI.E'I'I"t9'�R APPUCATION TO BF A EPTED
Date:. Permit.N,umber:
mLU-E *B_`-EAM
Build ng r ppH6kion
Planning and Development Services
Building and Code Regulation Division
2300 Mirginia Avenue;Fort Pierce FL 34982,
Phone:(772)462-1553' Fax: (772)462-1578 Commercial Residential x.
PERMIT APPLICATION FOR: Building;
PoROPOSEQ i!_I1%IPROUEMENT�l�OCATION ~ � '
I, Address: 12.VISTA DE LAGUNA
Legal,Description: EAST V2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
Property Tax ID#: 1301-111-0001�00-5 Lot Nd.
Site Plan Name: COUNTRY CLUB.:VILLAGE Block No.
Project Name:
Setbacks Front 28' Back: 16 Right Side: 37' Left Side: 13'
QEi'AILED t7 SCRIPI'IC)N"OF WO
SINGLE. FAMILY RESIDENCE (replacement home) - 3 BEQROOMS-2 BATHS- 1 112 GARAGES-
NO SLAB,TO BE BUILT OFF REAR OF HOME
CONSTRUCTIQN INFORMATION
Additional work to bfflrtqrmed unclerthiS permit—check all that apply:
IJHVAC. _Gas.Tank Gas Piping _Shutters a Windows/Doors
W1 Electric Z P.lumbingSprinklers ❑_Generator �Roof _
Total Sq.Ft of Construction:'2.484 Sq. Ft.of First Floor: 2,484
Cost of Construction:$ 58,000 Utilities: Sewer 0 Septic Building Height:
0�1INER�LESSEE" � CO�ITRACT'OR ,
Name WYNNE.BVILDING DEPARTMENT Name: MATTHEW LYLE WYNNE
Address:.8000 SOUTH US HVN..1 =SUITE402 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)878-551:3'
Zip Code: 34952' Fax: (772).87-8-7656
E-Mail: Phone No. (772)876-5513
Fill in fee simple Title Holdee on nod page('if different E-Mail:
from the Owner,listed above) State or County License::.08898
If value of tonstructiomis SZSOQ or more,a RECORDED Notice of Commencement is required.
SPPILNIENTAL,CONSTitUCTI�N LIEN LAll1t INFO , NI�1Tl0�t�.�;� ��'� ` � �� ��:'�� ���
DESIGN£ ENGINEER: _Not Appfsable IVIURTGAGE CQfl11IPANY _Not Applicable;
Name: eRAr��eizo Name:
Address:, ss:
City: ,STUART
State: FL City: State:
Zip.:. 34M, .Phone:: (772)287-82ss Zip: Phone:
FEE SimPLE`Tnu. HOLDER: _Not Applicable BONDING C MPAN : _NotApplfcable.
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 pcovenants that may restriet:orprohibit such
structure:Please,consult with your Home Owners Association and review your deed forany restrictions:which:may apply:
In consideration-of the granting.of this reguested'permit,I do'hereby agree that l'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,
accessorystructures;swimming pools;fences,walls,:signs;screen:roo.rns and aceesso.ry.uses to another non-residential use
WARNING TO OWNER:'Yaurfaiilure to Record a Nodce:af Commencementmay result in your paying twice for
improvementsto 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 Oran attorney before
commencing work or recording your Notice of Commencement.
_Signature.of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
i
COUNTY OF Cam• Gr COUNTY OIF Sr^ t efF
The forgoing instrument was acknowledged.before me The forgoing instrument was acknowledged before.ripe
thisf_day of G 20 Eby this._j I dayof 2D by
:r!Y1"mo y C F
(Name of person acknowledging), (Name,of person acknowledging)
LL��L L,
(Signature"of No Public-State of Florida) (Signature of`No Public-State of Florida
Personally Known y OR Produced.,Identification Personally Known FOR Produced Identification
Type,of Identification Produced. Type of Identification Produced.
I¢ ', u r0? Tuv IN BASKIN a�,Ynt
Commission No, r ��, (Sea commission No� a ��
t MY CC1"'laSl d 'H 104W3
0' EXPIRES 0dober.2,2Q24 r ^S o' BXFf, ES:t, n c y
l:.
bo."I'lpa I nru Notary.F14011C unomyritem .`7,-1 Thru No±ary�Uroer to14
Revised o7/15/2_- =-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION: SEA,TURTLE' IvIANGRO.VE.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
Cf3MPLETE
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