HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE I O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:..
NO
Building. Permit Application
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 . Sknc,
PROPOSED IMPROVEMENT LOCATION:
Address: 14.541 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front 31 '. Back:.19' Right
1 Left Side:
Lot No.
Block No.'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE
CONSTRUCTION INFORMATION:
Additional work -to be nertormed under this permit— c
�✓_ HVAC Gas Tank ❑Gas Piping
ZElectric Z Plumbing Sprinklers
Total Sq: Ft of Construction: 2,108 All
Cost of Construction:$ 58,000 Uti
OWNER/LESSEE:
Name WYNNE BUILDING CORP.
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST.. LUCIE State: FL
Zip Code., 34952_ Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple.Title Holder on next page (if different
from the Owner listed above)
ecK ail apply:
_Shutters QWindows/Doors. .
Generator W11Roof
S . Ft. offirstFloor: 2,108
Iities: DSewer OSeptic Building Height:
CONTRACTOR:
Name: MATTHEW LYLE WYNNE
Company: WYYNE DEVELOPMENT CORP.
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement. is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ... _ Not -Applicable.
MORTGAGE COMPANY—. _ Not Applicable ..
Name:.BRADEN&BRADEN ' ....
Name:..
Add ress: 411 COCONUT AVE:
Address::
City: STUART State: FL
City: -State:
Zip; 34996,Phone: c772>287-8258
Zip: Phone::
:FEE -SIMPLE TITLE HOLD.ER:.. ,_ 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 authori2b.the-permit'holderto 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 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 concuerency 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:payingtwicefor.
A to your property. A.Notice.of Commencement must be recorded and postedon the jobsite
before the first inspection. If -you intend to obtain financing, consult with lender or:an.attorney before
-11 commencing work or recording. -your Notice of Commencement. .
s..
Signature.of C6riftetl5t1ticense Holder
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA�
COUNTY OF JT Ll�Lt1L
STATE OF FLORID
COUNTY OF LUCL(�
The forgoing instrume was acknowledged before me
:this ,30 day of -V Gk:'� 20 Eby
The forgoing instrument was acknowledged before.me
this,30 day of �Jaf%.q_ 2012 by
wte lJuk.ne-
(Name of person acknow . ging)
(Name person.acknowle ng )
ct .G�—..
ir Egudka
My Commission FF 978543
(Signature of Notary Public- StEro
ORaatt gEli5 020
$fdl'dl
Personally Known �ro
Type of Identification.uce
� ^^
Commission No.f" Q-/ �7 `�5�3 (Seal) ...
(. nature of NotaryPublic- St e o o .� ovary public State of Florida
c °4
Kern E Budke
a onally Known _ OR �d deeytiiraa�icatpn FF 978543
pe, of Identification Produced 'oExpireS 05/25/2020
Commission No? (Seal)
II . Revised 07A W014 .
REVIEWS
FRONT-
ZONING
SUPERVISOR
PLANS
VEGETATION':'.
SEA TURTLE -
MANGROVE -
COUNTER.
REVIEW
: REVIEW
REVIEW.
REVIEW
REVIEW
.REVIEW.
DATE.
COMPLETE
INITIALS: