HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE. INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �]
Date: Permit Number:
Building. Permit Application
Planning and Development Services NOV 2017
Building and 'Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PEFi�1/i►� 7 l S
Phone: (772) 462-1553 Fax: (772) 462-1578 :Commercial R2Siderl Ocie Coun , FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6 PERU
Legal Description: EAST 1/2 OF SECTION.1 TOWNSHIP 34S RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY LUB VILLAGE .
Project Name:
Setbacks Front 28' Back:- 17'
Right Side: 38' Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
SINGLE.FAMILY RESIDENCE (replacement home) - .3 BEDROOM - 2 BATH - GARAGE
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit --check.all apply:
�HVAC- Gas Tank �Gas.Piping _Shutters. Windows/Doors
z✓ Electric Plumbing 0Sprinkle.rs O Generator Roof
Total Sq. Ft of Construction?�275 S . Ft: of First Floor 2,27— 5- -
Cost of Construction: $ 58,000 Utilities. SewerEJ
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
Address: 8000 SOUTH US HWY. 1 - SUITE 402
City: PORT ST. LUCIE State: FL.
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
E-Mail:
Phone No. (772) 878-5513
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 LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable
MORTGAGE.COMPANY: ... _ Not Applicable
Name: BRADEN&BRADEN
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
City: State:
Zip: 34996 Phone:- (772) 287-8258
Zip: Phone:
FEE.SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address_:
City:
City:
Zip: Phone:
Zip: Phone:'
I certifythat.no work or installation has.commenced prior to the issuance.of a permit.
St. Lucie County makesnorepresentation 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
commencing work or recording vour Notice of Commencement.
- . �� S II
_ Signature of Owner/ Lessee/Agent Signature.of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF .S? �.r e elm COUNTY OF S 7 cc c
The forAoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of n10 v d iyt 20 t by this 7 day of �l% o rJ 4F" d&X- 20 17 by
f'1'l'4zed f'w (Yc-6- IN A 7777E YC 6-
(Name of person acknowledging) (Name, of person. acknowledging)
(Signature of Nota Public- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced_ Type of Identification Produced
DOROTHYAN k3ASKIN
Commission No. :c; LLCC Commission No.
�� COta AISSTNI� A 030145.
tl:
EXPIRES: October 2, 2020
Revised 07/15/2014
DOROTH`(��IJASKiN
CO.P4, il8SION G 030145 -
EXPIRES: October 2, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTL_E
MANGROVE
COUNTER :
REVIEW
REVIEW:
REVIEW .
REVIEW.
REVIEW
REVIEW.' -
DATE
COMPLETE
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INITIALS