HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE'ACCEPTED '
Date:. Permit Number:
Building: Permit Application ..
Planning :and Development Services f l mlr INC
Building and Code Regulation Division St, Lucia e0hty,
.. €==
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462=1553' Fax: (772) 462-1578 :CO r-hercial R.eSid2ntlal X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:
6- BOLERO
Legal Description: EAST 1/2 OF SECTION.1-.TOWNSHIP34S -.RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.,
Site Plan Name: COUNTRY CLUB VILLAGE'. Block No.'
Project Name:
. .. .... .. .... . .. . ... .. .. ..
Setbacks Front 30'> Back: 34'Right Side: • Left Side: 62'
DETAILED DESCRIPTION OFWORK:
V.
SINGLE FAMILY RESIDENCE (replacement home) 3 :BEDROOM - 2 BATH - 1 1/2 GARAGES
CONSTRUCTION INFORMATION:
itiona wor to . e e orme : under t is'permit— c, ec :a a.pp y:
HVAC-GasTank Gas Piping _Shutters• QVUindows/Doors
ZElectric D Plumbing e`� Sprinklers Generator Roof
Total Sq..Ft of Construction: 2;484 �\ S .'Ft: of :First Floor:' 2,484
Cost of Construction: $ 58;000 Utilities:�SewerSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE-BUILDING DEPARTMENT
N me: MATTHEW LYLE WYNNE
Address. l
C mpany: WYNNE DEVELOPMENT CORPORATION
City:- : C>A State: FL.
ress; .8000 SOUTH US HWY. 1 .-SUITE 402
772 878-Z656 ..
Zi Code: ax: ( )
'p 33.1 �.
PORT.ST. LUCIE FL. .
' City: : Stater
Y
Phone -No. (772).878-5513
-
Zip Code: 34952• Fax: (772) 878-7656
E-Mail:
Phione 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 Licenser 08898
If 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:. BRADEN a BRADEN..
Name:
Add ress:417COCONUT AVE, !
Address:
.City: STUART State: FL. i
City: State:
Zip: 34996- Phone:(772)287-8258
Zip: Phone::
FEE .SIMPLE TITLE HOLDER: _ Not,Applicable { .
BONDING. COMPANY:. _Not Applicable .
Name: -
Name:
Address:. a
Address:
City:
City::
Phone:
Zip: Phone:
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 such
prohibit
structure. Please consult with your Home.Owners Association and review your -deed for any restrictions which may a.pply..
In consideration.of the granting of this requested permit,. I do hereby agree thatdi 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 concurre.ncy review: room additions,- .
accessory structures, swimming pools, fences, walls, signs; screen rooms and accessoryuses to another non=residential use.
WARNING TO:OWNER: Your failure.to Record a Notice, of Commencement may result in yourpaying twice for .
improvements to your property. A.Notjce of Commencement musf be recorded and posted on the jobsite
before the .first inspection. lf;you: intend to obtain'financing, consult with I:erider or -an attorney before:
commenc . Ing work or recordin .: odr Notice of Commencement..:
.
..
_ Signature Of Owner/ Lessee/Agent
Signature of Contractor/License Holder. -:
STATE OF FLORIDA
S-f" LUC e-
STATE OF FLORIDA
-i— LU
COUNTY OF L
COUNTY OF L Lri
The fo[gbirig instrumenI was acknowledged before me
The forgoing instrument as acknowledged before: me
this �vday of (.t:�% 20 �-1 by
this Qlay of 20 I� by
(Name of person ackno ging) U
(Name of person. acknowledging)
(ti t✓�
.... .. ....
(Signature of Notary Public -:State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known. OR Prod uced•Identifiication
Personally Known x OR Produced Identification
Type of identification Produced
Type of Identification Produced .
Commission No! ` ,&a+n�G ($ �rPublic State of Florida
mmission No. F Seal
? Kern E Budka
My Commission FF 978543
ar o
�p!0 . �e� Notary Public State of�Flwida
a .
Revised 07%15%2014 a�oF i� Ekpire 5/25/2020 ommission 978543
REVIEWS: -
FRONT
ZONING . -
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE _
MANGROVE -
COUNTER :.
REVIEW
REVIEW- .
REVIEW .- -
- - REVIEW.
REVIEW
REVIEW'. .
DATE
�-7
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COMPLETE
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- rITh
INITIALS