HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: X0 Permit Number:
Building: Permit Application --MAY. 1-1. 201?
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie GoUnty, FL..
,2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 462-1553 Fax: (772) 462-1578 Cbmmercial, Residential: X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 11 CORDILLERA
Legal Description: EAST 1/2.OF SECTION-1 -.TOWNSHIP 34S -.RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE .
Project Name:
Setbacks front 31r Back: Right Side: 15' Left Side: 21'
DETAILED DESCRIPTION CIF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM-- 2 BATH =GARAGE
Lot No. 11
Block No.
CONSTRUCTION INFORMATION:
Additi.onal.work-to - e e orme _ under t- is'permit— check .a apply:
�HVAC Gas Tank OGas Piping %Shutters Q Windows/Doors
Z✓ Electric Z Plumbing Sprinklers Generator Roof
Total 5q. Ft of Construction: 2;108 (/ : S . Ft. of First Floor:.2,908
Cost of Construction: $ 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: 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) 87875513
Fill in. .fee simple Title Holder on next page ( if different.
E-Mail:.
from the Owner listed above)
State or County Licenser 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r
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-e25e
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 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 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 ST.. I u c,er COUNTY OF ST . `.,, cr r -
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'day of M 20 L.by this day of I'!'1 20 1Z by
!/1 at7'*&—w L yc.r (N YN NC IZ sg7lh°C70 6-V -E W YNnV C
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notar blic- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known 61 /OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identification Produced
MY COMM �� # GG 030145 ''• DOROTHYANN Bj )
Commission No. Commission o�••�I
EXPIRE Oct bet 2, 2020 .r ISSION # GG 030145
•'',FOF,F4��` Bonded Thru Notary Public Underwriters " :o; EXPIRES: October 2, 2020
Revised 07/15/2014
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