HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 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
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6632 SPANISH LAKES BLVD.
Legal Description: 617 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front 28' Back: 40'
DETAILED DESCRIPTION OF WORK:
Right Side: t5' Left Side: 15,
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM / 2 BATHS / 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
121HVAC LJGas Tank
10 Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: 2.484
Cost of Construction: $ 58,000
tnis permit — cnecK a
Gas Piping
Sprinklers
Shutters a Windows/Doors
Generator Z Roof
S Ft. of First Floor: 2,484
Utilities:CnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYNNE DEVELOPMENT CORP.
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: CGC03599
v vame or consrrucrion is>ZSuu or more, a RECORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENEBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:4,7COrONUTAVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)257A254
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER. Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 1 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
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF S-.
The forgoing instrume as acknowledged before me
this f rg_ day of 1 U c Y 20 Eby
STATE OF FLORIDA
COUNTY OF_
The forgoing instrument was acknowledged before me
this _&Lday of _C r- / 2011by
y/LfiT7"1-ie�.J ``/C.F WyNNG {%%HT77�E�ZeI CYGb �NY�vlu
(Name of person
nacknowledging ) %� (Name of person_ acknowledging
440,
)
(Signature of Not ry Public- State of Florida) (Signature of Notary blic- State of Florida )
Personally Known IZOR Produced Identification Personally Known ___�OR Produced Identification
Type of Identifiwtyo„j1RcW.}ged_.._�... .. -,m, Type of IdentificatiOW41 � - _
;DopOTHY ANN BASK'.N f It _�,:'s�.;'�;y LOriOTHYANN BASKIN
Commission No ,CCommission No. ' MYCO"14&"j11045443
^P EYPiRE3October 2, 2024 "'?�� EXPIRES: October 2, 2024
en.`
§ L ded Thm NCan Pohl ., In ..:,.,.
Revised 07/15/2014
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