HomeMy WebLinkAboutPERMIT APP - 10 KASSABAALL 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 KASSABA
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
PropertyTax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front20'6" Back:27'6"
DETAILED DESCRIPTION OF WORK:
Right Side: 12'2" LeftSide: 13'10"
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOMS / 2 BATHS / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
HUU I UUIId I WUIK UJ UC el I U I IHtU U I IUel L[11b peffflll—❑
❑_HVAC Gas Tank ❑Gas Piping
10 Electric ❑✓_ Plumbing OSprinl
Total Sq. Ft of Construction: 2.124
Cost of Construction: $ $58,000
LJShutters Windows/Doors
11 Generator Roof
SQI �Ft.I of First Floor: 2,124
Utilities:nSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
City: Port St. Lude 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: cheri@wynnebc.00m
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: cheri@wynnebc.com
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: arnden8Br4den
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 477 C=nutAw.
Address:
City: swan State: FL
Zip: 349% Phone: (772)2E7-825e
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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
COUNTY OF STLUCIE
The forgoing instru nt was acknowledged before me
this — (a(a day of e a .:.�, 20 1( by
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instru ent was acknowledged before me
this l (o day of 20 d_/ by
MATTHEW LYLE WYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging )
hV.C)n.9 �4aY /6 aO IC.. tiY� 13
(Signature of Nota blic- State of Florida ) (Signature of NofeJy Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Pmdu off
DOROTHY NN BASKIN
.�` C3ROThJ� BASKIN pj,€' p-
Commission No. ��'`' o'er ` y�r Commission No. MY COMMrN#HH 045443
COMMi I # HH 045443
;I -. --;. EXPIRES: October 2, 2024
EXPIRES: October 2, 2024 , .' p„ ..
Revised
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