HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: (a? 19 J7.
% Permit Number: (�� 05U C/
RED@QED
Building Permit Application . JUN 1:9 2011
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial. Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 52-FLORES DEL NORTE
Legal Description: EAST 1,12 OF SECTION.1 - TOWNSHIP 34S -_RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name: ode 4000r
Setbacks . Front.26 Back: 24' Right Side: 1$Left Sid . i
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home)- 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
CONSTRUCTION INFORMATION:
Additional worK to be performed un er t. is permit.— check a apply:
HVAC Gas Tank Gas Piping Shutters. Q Windows /Doors.
zElectric Plumbing FSprink ers Generator Roof
Total Sq. Ft of Construction: 2,484 S . Ft. of First Floor: 2,484
Cost of.Construction:'S 58,000 Utilities: Sewer Septic 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 US HWY. 1 - SUITE 402
Zip Coder 34952 Fax: (772) 878-7656
City: PORT ST.. LUCIE State. FIL .
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'
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name: BRADENBBRADEN
Name:
Address: all COCONUT AVE.
Address:
City: STUART State: R
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. wh ich 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 your Notice of Commencement:
I �
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S, L',— COUNTY OF -. �,
The for ogo ng instrument was acknowledged before me The forgKing instrument was acknowledged before me
this � day of 20 [Zby this.1 . day of 20 0 by
!�,-r,-�r LYQ Wy/V e ylTn-IG W yc-c 6u /N.N e .
(Name of person acknowledging) (Name of person. acknowledging)
Cca_—
(Signature of Not Publ/ic- State of Florida )
Personally Known r/ OR Produced Identification
Type of Identification. Produced
(Signature of Notary blic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced .
0
Commission N " DOROTHYAN Al iN.11
�r4 �' .,e It �? 30145 Commission No
EXPIRES: October 2, 2020
Revised 07
DOROTHYAItIN
$ph4MISS10njV 30145.
:XPIRES: October 2, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER -
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
S�
COMPLETE
INITIALS
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