HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIO_ N TO BE ACCEPTED
Date: Permit Number: Vr.OcJVJrO
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Building Permit Application NOV i : 2017
.-Planning and Development Services
Building and Code Regulation Division PEMr 11'1,
Co i L t. Lucie un
2300 Virginia Avenue, Fort Pierce FL 34982 �__• StY, FL
Phone: (772) 462-1553 Fax: (772) 462-1578, - Corn ercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: NEW wow
Address: M FLORES. DEL NORTE
Legal Des.cription:. 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 31' Back: 59' Right Side: 20' Left Side: 15'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home);.. 2 BEDROOM =.2 BATH = GARAGE
Haaitionai worK to ae n rrormea . unaer tnis permit — cneCK; an inai appiy:
ZHVAC. I _I Gas Tank - []Gas Piping IL_JlShutter's .Windows/Doors .
zElectric PlumbingSprinklers Generator Roof
Total Sq..Ft of Construction: 2,108 S . Ft. of:First Floor: 2,108
Cost of Construction: $ 58,000 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATi'HEW LYLE WYNNE
Company: WYNNE DEVELOPMENT. CORPORATION
Address: 8000 SOUTH US HWY. 1 - SUITE 402
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 State: FL -
Phone No. (772),878-5513
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
E-Mail:
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. .
SUPPLEMENTAL CONSTRUCTION LIEN LAUU INFORMATION
'Y
:
DESIGNER/ENGINEER: .:. _ Not Applicable
MORTGAGE -COMPANY: Not Applicable
.Name: BRADEN&BRADEN .
Name:
Ad d ress: 417 COCONUT AVE:
Address; '
City; STUART'.State: FL
-City: State:
Zip:_ 34996 Phone:: c��zi2a�-azsa
Zip: •Phone:_
FEE.SIMPLE TITLE'.HOLDER:. _.Not.Applicable
BO.NDING 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 pe rr.
. St' Lucie County makess no representation'that is granting a:permit will authorize the'per"mitholder to build the subject.structure'
`which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants thatmay 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 accordahce 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 iri your paying twice.foe
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 recordin • our. Notice of Commencement...
Signature. of Contractor/License Holder,
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY O.F 5T. Ill4-c i E
/._
COUNTY OF
The forgoing instrument was acknowledged before me ..
�layof loU�bC. 20 Eby
The forgoippng instrument was acknowledged before.me
this dayof /40 U��C�.20 117 by
this /
J/ ll�}T'3 Ew �N. buy,
%i9TrNtT4j
(Name of person acknowledging)
(Name. of person. acknowledging)
(Signature of NotarVublicState of Florida) -
NotfU of Florida)
(Signature of Public -_State .,
Personally Known-4,ZOR Produced-l.dentification :
Personally Known - , �OR Produced Identification
..
Type of Identific
Type of Identification Produced
c 9<; . DOROTHYANN 3ASKIN
Commission No. = MYCOMMISSI(dG 030145
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Commission No. JF DOR'-=-
c, EXPIRES:October2, 2020
- Bonded 7hni Nots ,PublicUnd
1NN BASKIN
MY•COMtdISSION # GG 030145-
fir=
Bonded Thrb Notary.Public Underwdters- -
Revised 07/15/2014.
REVIEWS: •
FRONT:
ZONING
SUPERVISOR
PLANS
VEGETATION 'i
SEA TURTLE -
MANGROVE:
COUNTER.
REVIEW
:REVIEW
REVIEVI/.
REVIEW
REVIEW
REVIEW.
DATE .
COMPLETE
INITIALS: .