HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �. , �. j% Permit Number - 1'7n Lo y
: .
FEUD 1��Iu
Building Permit Application ,IUN 3 �17
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: 1 PUERTO SOL
Legal Description: EAST 1/2 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:
Setbacks Front 28' Back: 26' Right Side: 25Left Side: 20'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM -'2 BATH - GARAGE
CONSTRUCTION INFORMATION:
Additional work to be "Orformed under this permit —check all apply:
ZHVAC - Gas Tank E]Gas Piping Shutters - a Windows/Doors
zElectric Plumbing . []Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S . Ft: of First Floor: 2,108 . .
.. � -Cost of Construction58,000 : $ Utilities: SewerLiSeptic 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
Address: 8000 SOUTH US HWY. 1 - SUITE 402
City. PORT ST. LUCIE State: FL
City: PORT.ST. LUCIE State: FIL .
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Zip Code: 34952 Fax: (772) 87877656
Phone No. .(772) 878-551.3
E-Mail:
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'L-lEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE.COMPANY _ -N.ot Applicable- .. ; .
Name:.BRADEN&BFZADEN . :..
Name: ..
Address: 4W COCONUT AvE:
Address:
_City;. stUART State: FL
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.iristallation has.(commenced-prior to the issuance.of a permit.: .
st: Lucie Count makes.n'o representation 'thatis granting a permit will authoriie'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 reviewyour 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 coricurrency review: room additions;
accessory structures, swimming pools,: fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNINGTO: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 intend to obtain financing, consult with I;ender oe:an.attorney before
commencin work or retoirdingyoue Notice of Commencement:::
V
- Signature of Owner/ Lessee/Agent Signatbre.of Contractor/License Holder,
STATE OF FLORID STATE OF FLORI1* -
i': Lvc-L
COUNTY OF COUNTY OF LVG L
The forgoing instrument was acknowledged before' me -The forgoing instrument -was acknowledged before.me
this 2?Q day of JL&,^ g _ 20 L7by this day of A l i_ _ -20 by
(Name of person ackno dging) - (Name of person. acknowl ging )
(Signature of Notary Public -State of Florida) (Signature of No PAbric-t"
ate of Florida )
Personally Known_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification, Produced Type of Identification Produced II11
COmmISSIOn NO. /cea�1 �hl5tate or Florid-
o,�o a, .
Notary i�rntistate of Florida COmnlI5510.n No. fey Nota
r ; : Kerri:E Bud
e mission FF 978543
Expires 05125/2
Revised67/15/201
Kerri E Budka
•Q M67854,j
y Commission:FF
020. '