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 Cade 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: 21 FLORES DEL NORTE
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 Front34' Back: 16' Right Side: 18, Left Side: 18'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOMS - 2 BATHS - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
❑✓_ HVAC U Gas Tank
10 Electric ❑✓_ Plumbing
Total Sq. Ft of Construction: 2.108
Cost of Construction: $ 58,000
Lot No.
Block No.
Berm¢—cnecKan appry:
Gas Piping _Shutters Windows/Doors
Sprinklers Generator Z Roof
S Ft. of First Floor: 2,108
Utilities:tSewer 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: PART 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:
Not Applica
Name: BRADEN&BRADEN
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: Uses Phone: (772)za7a2se
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 Signature of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF fir. �s COUNTY OF S—, {.x _:.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -.2.;)day of 20 Eby this _2.',I day of Xnu .20 Eby
j/YIATNEw Lyc.4EF WY.vxte j'%R> rr'/4&7_) LYE GUNNNG
(Name of person acknowledging) (Name of person acknowledging)
lLc'aA� (Aix.w. &add. L==12�. a.
(Signature of Noe5ty Public- State of Florida ) (Signature of No& Public- State of Florida )
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. &.'d-••. Commission No. : <.!�:?"'••. DOROTHaU)BASKIN DORO A NBASKIN
MY COMMISSION # HH 045443 FI �': A, iv......_.
Utdm7ltem
Revised
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS