HomeMy WebLinkAboutBUILDING PERMIT APP - 79 SAN LUIS OBISPOALL 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: 79 SAN LUIS OBISPO
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 32' Back: 35' Right Side: 16' Left Side: 15'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOMS - 2 BATHS - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
ACclitional work to be e orme un ert ispermit—c ec aI I lalappy:
ZHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator ❑� Roof
Total Sq. Ft of Construction: 2,108 SQj' �Ft. of First Floor: 2,108
Cost of Construction: $ 58,000 Utilities:nSewer Septic Building Height:
ER/LESSEE:
CONTRACTOR:
WYNNE BUILDING DEPARTMENT
Name: MATTLYLE WYNNE
rAddress:8000 SOUTH US HWY. 1 - SUITE 402
Company: NNE DEVELOPMENT CORPORATION
PORT ST. LUCIE State: FLAddress:
8000 SOUTH US HWY. 1 - SUITE 402de:
34952 Fax: (772) 878-7656
City: PORT ST. LUCIE State: FL
Phone No. (772) 878-5513
Zip Code: 34952 Fax: (772) 878-7556
E-Mail:
Phone No. (772) 878-5513
Fill in fee simple Title Holder on next page (if different
E-Mail:
State or County License: 08898
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not Applica
Name: BRADEN&BRADEN
Ad d resS: 417 COCONUT AVE.
City: STUART State: FL
Zip: 349N Phone: (772)287-82w
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 FLORIDA
COUNTY OF 6T,c a COUNTY OF Sr--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this XVday of OcT06eX .201.'by this_adayof DC7D6@7L 20 34 by
^47rvew 6Y4.F wy,v&,E MA--n-wew
(Name of person acknowledging) (Name of person acknowledging)
(Signature of P&ry Public- State of Florida )
Personally Known t/OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # HH 045443
Revised 07/
Ito a. a� Ailo- .
(Signature of Nory Public -State of Florida )
Personally Knowny OR Produced Identification
Type of Identificati
Commission No. yQ CM�H 045443
E*fRES: October 2.2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS