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: 82 LAS CASITAS
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax I D #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 12' Back: 16'
Right Side: 20'
Left Side: 31'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
SINGLE FAMILY RESIDENCE (replacement home)
A SLAB WILL BE BUILT OFF REAR OF HOME
1 BEDROOM - DEN - 1 1/2 BATHS - GARAGE
I CONSTRUCTION INFORMATION: III
ZHVAC 1-1 Gas Tank
10 Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: 1,750
Cost of Construction: $ 58,000
perms — cnecrcau inai appy:
Gas Piping _ Shutters Q Windows/Doors
Sprinklers ElGenerator Z Roof
S Ft. of First Floor: 1,750
Utilities:cnSewer 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) 878-7666
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 SZ500 or more, a RECORDED Notice of commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Not Applicable I MORTGAGE COMPANY:
Name: BRADEN &BRADEN Name:
Address: 417 COCONUT AVE. Address:
City: STUART State: FL City:
Zip: a+ase Phone: (772)2e7s25e 1 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY:
Name: _
Address:
City:
Zip:
Name: _
Address:
Zip: Phone:
Not Applicable
_Not Applicable
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_
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLOR11,gqA /
COUNTY OF S—T. � COUNTY OF �St ii'
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
;I_(this -I day of 20 !Iby this X1 day of. 20 41 by
YIPA-Tt &I'J Lv(_� I/U yNN F %iiRZTNet� L YC WvNNE'
(Name of person acknowledging ) (Name of person acknowledging )
(Signature of NofQ0 Public- State of Florida ) (Signature of Not Public -State of Florida )
Personally Known t/ OR Produced Identification
Type of Identificati ly
Commission No. ,q;';M ': DOROTHYANN BASKIN
Y COMM&I* # HH 045443
EXPIRES: October 2,2024
Revised 07/15/2014
Known OR Produced Identification
Type of
,;�;.... ;.- uvnutnTANNSASKIN
Commission No. -++ :: MYCOMM4"6H045443
+o. Rg ^.. EXPIRES: october2, 2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS