HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE'ACCEPTED "
Date: Permit -Number: /
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Building: Permit Application . Nov:2017
Planning and Development Services PERMIT I I:rIG
Building and Code Regulation DiVisio.ri
2300 Virginia Avenue,' Fort Pierce FL 34982 . St: Lucie County, FIL
Phone:. (772) 462-1553" Fax: (772) 462-1578 . COII merdal, ' Resi&ntial. X
PERMIT APPLICATION" FOR: - Building
PROPOSED IMPROVEMENT LOCATION: "
Address:' 75•CALLE DE LAGOS.
.Legal Description:. EAST 1/2.01F SECTION.1 - TOWNSHIP 34.S- RANGE 39E
Property Tax ID # 1301-111'-0001-000-5 - " " Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks ..Front:28'_ " . Back:.18'.. Right Side: 19, Left Side: 1.5'
DETAILED DESCRIPTION";OF WORK: .
SINGLE FAMILY: RESIDENCE -(replacement home).;- 3 BEDROOM - 2 BATH�GARAGES
. V
[CONSTRUCTION INFORMATION:
Ad itiona I wor., .to be performed. . u nd er th is'permit— ch ec a app y;
�HVAC Gas Tank Gas Piping - _ Shutters .Q Windows/Doors "
�✓ Electric. " 0✓ Plumbing Sprinklers Generator Roof • /
2;484 2,484 . . V
Total Sq.. Ft of Construction: S . Ft. of First Floor::
Cost of Construction::$ 58,000 Utilities:�SewerSeptic 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 State: -FL- .
Phone No: (772).878-5513
Zip Code: 34952 Fax:' (772) 878-7656 "
E-Mail:
Phone No. :(772) 878-551.3
Fill in -fee simple Title Holder on hext.page (if.different
E-Mail: -
from the Owner listed above)
State or County Licenser 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable.
MORTGAGE COMPANY: _ Not Applicable
hla me:. BRADEN B BRADEN.
Name:
Ad d ress: 417 CocoNUT AVE.
Address:
.City: STUART State: k
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 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.app.roved.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. Ifyou intend to obtain financing, consult'with lender or'an-attorney before
commencing Work or recording Vour Notice of Commencement...
I
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST'' LA4c.tr
The forgoing instrument was acknowledged before me
this I±06•lay of 14o o nm Q eX . 20 aby
Signature of oc ntractor/License Holder
STATE OF FLORIDA
COUNTY OF S�—,: e to
The forgoing instrument was acknowledged before. me
this day of /\t o y [-7-A a cx. 20 I.7 by
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of N cdy
Public- State of Florida) (Signature of Nota Public- State of Florida )
Personally Known `� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced��
Commission No.. ��5^<•. DOROT $®g BASKIN Commission No. ' �COROTfjXXANp BASKIN
K N - MY COr,4Ml9�i��1� GG 030145
(, MY COMMISSION # GG.030145 ^ r', EXPIRES: October 2, 2020
Revised 07/15/'20""
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE .
COUNTER .
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW.: .
DATE
COMPLETE
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INITIALS-