HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: . 0
D .
Building Permit Application 1 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 COI'1'11'1'lercial Residential- X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 121 CALLE DE LAGOS
Legal Description EAST 1/2 OF SECTION -.TOWNSHIP 34S -RANGE 39E
Property Tax ID #. 1301-111-0001-000-5 Lot No. '
Site Plan Name: COUNTRY CLUB VILLAGE / Block No.'
Project Name:
Setbacks Front 31' Back: Right Side: 12'4" Left Side: 22'8"
I DETAILED DESCRIPTION OF WORK: II
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH -GARAGE
CONSTRUCTION INFORMATION:
Aclart-ion-51 work .to
fI orme un er this permit.— check a apply:
HVAC GasTank Gas Piping hutte❑rs a Windows/Doors
z✓ Electric ✓❑_ Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S . Ft. of .First Floor: 2,108
Cost of Construction: $ 58,000 Utilities. Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: -MATTHEW LYLE WYNNE
Company: WYNNE DEVELOPMENT CORPORATION .
Address: 8000 SOUTH US HWY. 1 - SUITE 402
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 Stater 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 52500 or more, a RECORDED Notice of Commencement is required.
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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
Name:
Address:.
.City:
Zip: Phone:.
BONDING COMPANY:. Not Applicable .
Name: -
Address:
City:
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 perrriit 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.
Inconsideration -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 inyour: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 or. an attorney before
commencing work or recording your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
s .
Signature -of Contractor/License Holder .
STATE OF FLORIDA
COUNTY OF -�37f:
The forgojng instrument was acknowledged before me The forgo' instrumen was acknowledged before.me
this � day of 20 >2by this � ay of 20 f 7 by
!/y1 �►-� �: CL �c. F GVY� ,ti e' �79-T7^trir7.cJ Z i°c.�� : Gy �Osv nit
(Name of person acknowledging). (Name of person acknowledging)
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(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
Commission No. ,_"�?, .�1�•.. OTHYpt�RASKIN
e ' ``rr 1l��
.
Commission No. •��:�:a9�% DOROTH.. SKIN
_
EXPIRES: October 2, 2020
Revised 07/1
COMMISSION # GG 030145
Notary Public Underwriters
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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.REVIEW
REVIEW
REVIEW
REVIEW...
DATE
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COMPLETE
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INITIALS.
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