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HomeMy WebLinkAboutBuilding Permit Applicationr?,. . ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - �'I 9 7 Permit Number:.. ©(o M�" Building Permit Application Planning and Development5ervices JuN.,1 g t017 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553 Fax:. (772) 462-1578 Umn1erClal. Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 6548 DULCE-REAL Legal Descriptiow. 6/7 34 39 all that part lying northeasterly of 1=95 , 1306-111-0001-000/0 Lot No. Property Tax ID #:: Site Plan Name: SPANISH LAKES FAIRWAYS Block No. Project Name: .. Setbacks Front 26'' Back: 25' Right Side: 15' -Left Sider 17' DETAILED DESCRIPTION: OF WORK: .. ... .. .... .. . .. .... .. ... SINGLE. FAMILY. RESIDENCE (replacement home): 3 BEDROOM / 2 BATH / 1 1/2 GARAGES CONSTRUCTION INFORMATION: Additional work to be e orme - under er this permit--,check.all t= apply: �✓ HVAC a Gas Tank E]Gas Piping - _ Shutters _ Q Windows/Doors �✓ Electric D Plumbing-. Sprinklers Generator Roof Total Sq..Ft of Construction: 2',484 S Ft. of .First Floor::2�484 Cost of Construction: $ 58,000 Utilities: Sewer El Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING CORP. Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US, HWY. 1 SUITE 402' Company: WYYNE DEVELOPMENT:CORP. 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 E=Mail.:.. Fill in #ee simple Title Holder on next page (if different, from the Owner listed above) State or County License: CG.003599 - SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable, MORTGAGE -COMPANY: _ Not Applicable ... . .Name: BRADENBBRADEN Name: Address: 417 COCONUT AVE. Address: City: srUART 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 certify that no work orinstallation 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 approved plans, the Florida Building Codes and St. Lucie County.Amendments. .The following -building permit applications are exempt from undergoing a full coricurrency 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 Fender oe an attorney before commencing work or recording vour Notice of Commencement: _ Signature of Owner/ Lessee/Agent s .Signature of Contract License Holder. STATE OF FLORIDA r STATE OF FLORIDA COUNTY OF COUNTY OF �T The forgy'g instrumen was acknowledged before me The forgoing instrument was acknowledged before_me this _JaLj'day of 20 17 by this 49 tay of 20 ( by (Name of person acknowledging) (Name.of person. acknowledging) A (Signature of Nota Public- of Florida) (Signature of Nota ublic- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known �OR Produced Identification Type of Identificati Type of Identific `Ofi �., Commission No. MY COMM J10 # GG 030145 }_ �� 1 2, 2020 '% DOROTHYANN BASKIN r' "� MY COMMISSIO )030145 Commission No. ,�: a. EXPIRE l5er � °•;��` »aided T11ro Notary Public Underwriters „�`" EXPIRES: October 2;2020 , Bonded Thru Notary Public Underwriters Revised 07/15/2014. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE c7 / a0 COMPLETE INITIALS. A4— L01 I