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: 13997 ADELFA
Legal Description: 6/7 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 33' Back: 35' Right Side: 18' Left Side: 16'6"
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home): 1 BEDROOM / DEN / 1 1/2 BATHS / GARAGE
A SLAB WILL BE BUILT OFF REAR OF HOME
UUILIUIIdIWU1RLUUC C11UIIIIUU UIIUCI L111CpCIIIIIL—UI
Z✓ HVAC Gas Tank Gas Piping
10 Electric 0 Plumbing Sprinklers
app y:
_Shutters ❑✓ Windows/Doors
ElGenerator Z Roof
Total Sq. Ft of Construction: 1,750 S Ft. of First Floor: 1,750
Cost of Construction: $ 58,000 Utilities:nSewer 0Septic 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
If value of construction is $25W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBnAADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add res5: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (T/2)287-e25e
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER. _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 your Notice of Commencement.
—Signature of Owner/ Lessee/Agent
s
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-r. a c¢ COUNTY OF �v5
The fo,r,,&�oing instru,"nt was acknowledged before me The forgoing instr}�ent was acknowledged before me
this day of�4t 20 Eby this _N day of l '. 20 al by
ji�lft7rrlC�7„J GYGr WYvAS41 `i'I�rrN�w LYG€ j�v,�,u,ve
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not Public- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identifi
�^"`•° `'• DOROTHY, SIN
Commission N
i.".: DOROTHYAjiKIN Commission N = ? MISSION
•,t MY COMMISSION 0 HH 045W 5443
'o; EXPIRES: October2,2024
EXPIRES: October 2. 2024 "?•..?F"i°"� awwnn.... �_._-.,...._.._. ._
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