HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED "
Date: Permit N i mber:
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Building Permit Application I14
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Planning and Development Services NO 2017
Building and Code Regulation Division
PENiJii f'TiNu
2300 Virginia Avenue,Fort Pierce FL 34982 St Lu iR County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResidenjjlaV�
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PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 41 ARBOLES DEL NORTE
Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
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Property Tax ID#: 1301-111-0001-000-5 ? Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 28' Back: 26' Right Side: 19, Left Sidi: 15'
DETAILED DESCRIPTION OF WORK:
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SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - ARAGES
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a t apply:
ZHVAC :Gas Tank —]Gas Piping Shutters Q Windows/Doors
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❑✓—Electric Z Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 S . Ft.of First Floir: 2,484
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 Address: 8000 SOUTH US HWY. 1 -SUITE 402
Zip Code: 34952 Fax:(772)878-7656 City: PORT ST. LUCIE J State:FL
Phone No.(772)878-5513 Zip Code: 34952 i Fax: (772)878-7656
E-Mail: Phone No. (772)i878-5513
Fill in fee simple Title Holder on next page(if different E-Mail: I .I
from the Owner listed above) State or County License: 08898
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: BRADENBBRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)297-8258 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 foriany 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 a I attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Co traci or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ccF- COUNTYOF S�• krill
The forgoing instrument was acknowledged before me The forgo ng instrument was acknowledged before me
this_3 0bday of A1oyEM6&-YL 20 Lby this 3 day of IJo �7n,6�� � ,20>7 by
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l�Y114 rr ce-w bic-F `�i-rrje Mr4TrHEw Y/inr�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not Public-State of Florida) (Signature of Nota Public-State;'of Florida)
Personally Known ✓ OR Produced Identification Personally Known aI OR Produced Identification
Type of Identification Type of Identification Produced 1I
DOROTHYANN BASKIN
MY COA4( pN GG 030145 Commission No. DOROTti'(gd�(�gSKIN
Commission No. �e�l' ^''``:;`.
EXPIRES:October2,2020 �' % COt.3io-41SSI0N GG 030
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oFd„�••BondedThrutJo,aryPublieUnderwdters I %^%��?{ [XMRES:October2.202
c,.,�:.� - —_-- •,��.-„�„;,f �"wry: nru�Diary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REV)EW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 1 i1 11
INITIALS
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