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: 10 MONTOYA
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 29' Back: 12'
DETAILED DESCRIPTION OF WORK:
Right Side: 13'6" Left Side: 13-6"
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - DEN - 2 1/2 BATHS - GARAGE
A SLAB WILL BE BUILT OFF REAR OF HOME
. JIUI ...,IN LU V cJwuncu UHUCI uuo penuu—uie�Kdu
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HVAC _Gas Tank ❑Gas Piping
Electric Plumbing Sprinklers
dppry:
aWindows/Doors
Roof
_Shutters
1:1Generator
Total Sq. Ft of Construction: 2.485 S Ft. of First Floor: 2,485
Cost of Construction: $ 58,000 Utilities., Sewer 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
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: BRADENBBRADEN
AddrPSSf 417COCONUTAVE.
City: STUART
Zip: s4Mi
Phone: (772)2e74$25e
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
_Not Applicable
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.
I — : : s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLO A
COUNTY OF _ kA, c-ca� COUNTY OF W- N��
The forgoing instru ent was acknowledged before me The forgoing instrum nt was acknowledged before me
this �day of�20 Eby this�.{dayof 20 �- by
M,4Tfi4EW Z-,Yr a MA-77WRW IVC,-� tAJYuNF
(Name of person acknowledging) I (Name of person acknowledging)
(Signature of N t ry Public- State of Florida) I (Signature of Not@A Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification@gyll " - - - - ----
:n
DOROTHY ANN BASKIN
Commission No.
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WCOMtW1JI9N#HH045443
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EXPIRES: October 2,2024
Bonded TNu Nt,, P05C Un4mwiilM
Revised 07/15/2014
Known ✓ OR Produced Identification
Type of
Commission No. :+9'DO 14tNNBASICIN
,a MY CO ISSIIbON#HH 045443
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