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HomeMy WebLinkAboutBuilding Permit Application 2108-0053ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: son 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 PROPOSED IMPROVEMENT LOCATION: Address: 83 SAN LUIS OBISPO Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E PropertyTax ID #: 1301-111-0001-000-5 Site Plan Name: COUNTRY CLUB VILLAGE Project Name: Setbacks Front 28' Back: 37' DETAILED DESCRIPTION OF WORK: Right Side: 12'1" Left Side: 12-1" Lot No. Block No. SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOMS - 2 BATHS - 1 1/2 GARAGES NO SLAB TO BE BUILT OFF REAR OF HOME L!LHVAC l_J Gas Tank ©Electric ❑✓_Plumbing Total Sq. Ft of Construction: 2,484 Cost of Construction: $ 58,000 Jo IM_lIJClN an dpply. Sas Piping _ Shutters a Windows/Doors Sprinklers 1:1 Generator Z Roof S Ft. of First Floor: 2.484 Utilities:cnSewer FISeptic Building Height: _ OW N ERAESSEE: 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-Maik 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: I DESIGNER/ENGINEER: _ Not Applicable Name: BRADEN d BRADEN Address: 417 COCONUT AVE. City: STUART State: FL Zip: aasss Phone: t772)287-825e FEE SIMPLE TITLEHOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: Zip: Phone: I certify that no work or installation has commenced priorto 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 _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA STATE OF FLORIDA COUNTYOF <. I-"c1F COUNTY OF 5Tk"cst The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this J(Qday of �J ,t ! . 20 al by this_Xeday of _TLic y . 20 1 by d2A-rn-!EW L`g_ ✓Ylaww&z.;, Ly Iiyy„u,ue (Name of person acknowledging) (Name of person acknowledging) a.." / uLLe-Ge•�. Lu6� (Signature of Nota ublilic- State of Florida ) (Signature of Not ry Public -State of Florida ) Personally Knowny OR Produced Identification Personally Known '/ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. MY CC."Alv'I SION I HH 04593 Bonded ThN Now Pcbf:c Revised Commission My COMMISSION.1 HH 045443 o er .2024 Eor'.ad Rru Notary R:blic Underw.�ers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS