HomeMy WebLinkAboutBuilding Permit Applicationr�
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE ACCEPTED
Date: Permit: Number:
Building. Permit Application
Planning and Development Services NOV 4 2017
Building and Code Regulation -Division PERNLI i'� NU
2300 Virginia Avenue, Fort Pierce FL 34982 ggt
Phone: (772) 4624553 - Fax:. (772) 462-1578 COLT mercial Residentl11. kucie County, FL. .
PERMIT APPLICATION FOR:. Building
PROPOSED IMPROVEMENT LOCATION:
Address: 22.DANZAR ... .. .... ..
Legal Description:. EAST 1/2.OF SECTION.1 - TOWNSHIP 349 - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No. -
Site Plan -Name: COUNTRY. CLUB VILLAGE . Block No.
Project Name:
Setbacks Fro„9t�a% - Back: 17' Right Side: -18' Leff Sider 15'
FDETAI LED. DESCRIPTION OF WORK:.. .
SINGLE FAMILY: RESIDENCE (replacement home)= 3-BEDROOM - 2 BATH GARAGE
CONSTRUCTION INFORMATION:
Addif.wor. to . g e orme :.under t is'permit--check all DuLt app y;
�✓ HVAC Gas Tank Gas Piping Shutters - Q Windows/Doors
z✓ Electric ✓❑_ Plumbing Sprinklers Generator Roof
Total Sq. -Ft of Construction: 2,275 S -Ft. of -First Floor::2,275
Cost of Construction:$ 581-000 Utilities: oSewer ESeptic Building Height:
OWNERAESSEE:
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. 'I --.SUITE 402
Zip Coder .34952.. .' _ Fax: (772).878-7656.
City: PORT.ST.. LUCIE StaterFL .
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.diff, event.
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: BRADENBBRADEN
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
City: State:
Zip: '34995 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 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 her agree that l 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
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License. Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7 . A c,, c COUNTY OF ST c,
The forgping ins trume t was acknowledged before me The for��ng instrument was acknowledged before. me
this,._, f a 20 / 7by this,�day.of �adFY+a�&-X 20 %7 by
✓Yl rtt#1r-w Ly M%77WE-W 5/N rJ
(Name of person acknowledging) (Name -of person acknowledging)
(Signature of Not Public- State of Florida) (Signature of Notary u lic- State of Florida )
Personally Know n._�OR Produced Identification Personally Known &"�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07AR-1014
DOROTHYANN BASKIN
LGOhgM,ISSI a 030145 Commission No.
EXPIRES: October 2, 2020
DORft94NN BASKIN
i MY COMMISSION # GG 030145
EXPIRES: October2, 2b20
Bonded Thru Notary Public Underwriter
REVIEWS
FRONT
ZONING.
SUPERVISOR,
PLANS
VEGETATION
SEA TORTLE
MANGROVE.
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW .
REVIEW
DATE
COMPLETE
�I
INITIALS