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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 Lode 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: 12 VERDE VISTA Legal Description: EAST 112 OF SECTION 1 - TOWNSHIP 348 • RANGE 39E Property Tax ID #: 1301-111-0001-000-5 Lot No. Site Plan Name: COUNTRY CLU13 VILLAGE Block No. Proiect Name: Setbacks Front 26' Back: 26' Right Side: 16' Left Side: 16' DETAILED DESCRIPTION OF WORK: SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOMS - 2 BATHS - 1 1/2 GARAGES NO SLAB WILL BE BUILT OFF REAR OF HOME I CONSTRUCTION INFORMATION: III LJHVAC I IGasTank 10 Electric ❑✓_ Plumbing Total Sq. Ft of Construction: 2,484 Cost of Construction: $ 58,000 Gas Piping Ic�R a Shutters Windows/Doors Sprinklers EjGenerator © Roof S Ft. of First Floor: 2,484 Utilities: LJ Sewer E]Septic 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: 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: 08898 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MAIDEN B BRADEN Address: 417 COCONUT AVE. City: STUART State: FL Zip: 3498E Phone: (772)287-s2W FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Not Applicable BONDING COMPANY: _Not Applicable Name: Address: 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 _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA� STATE OF COUNTY OL ORJJp�A COUNTY C i JS-I-. k4-_ c� The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me this 2 It day of . Q 20 21 by this 2 t day of 20 �4 by (LcTTFIe'W L`/c.6 WyunIC 1n rMEW Lyce dt/r>✓ae (Name of person acknowledging ) 1� p (Name of person acknowledging) (Signature of of Not Public- State of Florida) (Signature of NOVPublic- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced $�"D" D )ROTHY A IN Commission No. �' F"••.' DOROW64NBASKIN Commission No. ��" �`: '.;= MY COMMISSION# HH 045443 :.: MISSIO 54 %y, eo? EXPIRES: October 2,2024 .. _._ ._ a Revised REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS