HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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Building Permit Application
NOV 9. 7017
Planning and Development Services
Building and Code Regulation Division
PERMITTING
2300 Virginia Avenue, -Fort Pierce FL 34982
St.. Lucie County, FL
Phone:, (772) 462=1553. Fax:- (772) 462-1578' COCY mercial Residential: X
PERMIT APPLICATION'FOR:. Building
PROPOSED IMPROVEMENT LOCATION:
Address: 12-ECUADOR'W; F\
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.
1
Project Name:
/
Setbacks Frons,3`P' Back: Right Side: 16' Left Side: 14'
DETAILED DESCRIPTION OF WORK:
SINGLE. FAMILY RESIDENCE (replacement home) - '3 BEDROOM = 2 BATH = GARAGE -
CONSTRUCTION INFORMATION:
itionawortoe eormeunerthis --checkpermit a apply:
Z
HVACbe Gas Piping _ Shutters Q;Windows/Doors.
❑✓_ Electric ✓❑_Plumbing �S,prinklers Generator L Roof,
Total Sq. Ft of Construction: 2,275 V S . Ft. of First Floor:. 2,275y
Cost of Construction: $ 58,000 Utilities: Sewer OSeptic 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: FIL
Address:.8000 SOUTH L►S HWY. 1 - SUITE-402
Zip Code. 34952 .. Fax:-(772) 878-7656
City:' PORT ST.. LUCIE State: FIL .
Phone No. (772) 878-5513
Zip Coder 34952 Fax: (772) 878-7656
Phone No. -(772) 878-551.3 .
E-Mail:
E-Mail:
Fill in fee simple Title Holder on next page (if -different
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.
N
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: BRAZEN&BRAZEN
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART- State: F1_
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 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 COUNTY OF S; L&C4 r
The forgQ•ng instrume pt was acknowledged before me The for . instrument was acknowledged before me
this - ay of O.v�1 20 O by this,5ll�Z day of Alo dirBew- , 20 1 7 by
P0'4fMe_W i V ("e GU V'JAXZ�-MA-7rNEw &A-6-E (,Q y/U'/U Z-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotU Public -State of Florida) (Signature of NotNotio Public- State of Florida )
Personally Known. ✓ OR Produced Identification
Type of Identificat' _
Commission No.
Revised 07/15%2014.
DOROTHYANN BASKI
MY COMMIS o GG 030145
EXPIRES; October 2, 2020
Bonded Thru Notary Public Underwriters
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. ti' DORoTHY�S�SKIN
MY COkiMISSION # GG 030145
gXPIK58: October 2,2020 .
r i Bbnued Thru Notary Public Underwriter
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