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
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
Address: 10 VERDE VISTA
Legal Description: EAST 12 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front31' Back:22'
DETAILED DESCRIPTION OF WORK:
Right Side: 15' Left Side:16'
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
CONSTRUCTION INFORMATION: II
LtJHVAC LJ Gas Tank
Id Electric 0 Plumbing
Total Sq. Ft of Construction: 2,484
Cost of Construction: $ 58,000
permit — cneCKau triat appiy:
Gas Piping _Shutters Q Windows/Doors
Sprinklers ElGenerator ❑✓ Roof
S Ft. of First Floor: 2,484
Utilities.
Sewer ElSeptic 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: FIL
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: II
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: 13WEN & BRADEN Name:
i 417 COCONUT AVE.
City: STUART
Zip: 349M
State: FL
Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip: Phone: I 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
commencing work or recording vour Notice of Commencement.
s
_ Signature of Owner Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID4
COUNTY OF '&?.,Lucie COUNTYOF577 A. c.r
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this19 day of ituCr 20 ,2Lby this /* day of A-U&i . 20 -
fi%4-n-mc°W LYLF `NVANG 4%0A7Ii1167A> Z Ye-6 &VIV $U,
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic- State of Florida I (Signature of Notao Public -State of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identificaugri Produced
Commission No. Commission N W ." .... N
Y'COMMISS O45443 I i. n !i" 6MMISSION HH 04$4
__o EXPIRES:October2,2024 IiXPIRES;Ocfoper2,2024
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS