HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED VA
Date: ' J Permit Number:. / ! l(c
4fED
Building Permit Application
Planning and Development Services AUG 2 9 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7.72) 462-1553 Fax: (772) 462-1578 Commercial Residential. X
PERMIT APPLICATION FOR: 'Building
PROPOSED IMPROVEMENT LOCATION:
Address: 55 VILLAS DEL NORTE
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: y
Setbacks . front 31 ' Back: 30' Right Side:.16' Left Side: 14'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home)- EDROOM - 2 BATH -GARAGE
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit— c ec a apply:
Z.
HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors.
Z✓ Electric 0 Plumbing []Sprinklers Generator Roof
.Total Sq. Ft of Construction: 2,108 s✓ S . Ft. of First Floor: 2,108
Cost of Construction: $ 58,000 Utilities:11 SewerD Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Company: WYNNE DEVELOPMENT CORPORATION
Address: 8000 SOUTH US HWY. 1 - SUITE 402
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) 878-551,3
Fill in.fee simple Title Holder on next page( if different
E-Mail:
from the Owner listed above)
State or County License: 08898
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.COMPANYS Not Applicable..'
Name:. BRADEN & BRADEN
Name:
Address: 417 COCONUT AVE.
Address:
City:. STUART State: FL
City: State:
Zip: 34996 Phone: (772)287-9258
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 mayrestrict 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 recordina.vour Notice of Commencement. .
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF Sr 1�uc�r
The forgoing instrument was acknowledged before me
this ' gay of C, :y s T 20 13by
s
Signature of,Contractor/License Holder.
STATE OF FLOIDAI
COUNTY OF T hid C i r
The forgoing instrument was acknowledged before me
thisa3 PAY of A!!-c &4ex r , 20 17 by
A, 'rr-kFw L \f t-E IliVYNN 101r477-HCW L YC l/V `6yNE'
(Name of person acknowledging) (Name of person. acknowledging)
(Signature of Nota Public'State of Florida )
Personally Known. L/. OR Produced Identification
.Type of ldeniificatior^�^�---- -
Commission No.
II Revised 07/15%2014
DOROTHYANN BASKIN
MY COMA W9P. # GG 030145
EXPIRES: October.2, 2020
Bonded Thru Notary Public Underwriters
(Signature of Nota uublic- State of Florida )
Personally Known ro u ed tification
Type of Identificatio r `i44
MY_ COMMI IO.N GG 030145
Commission No: 24 EXPIRESl�r2;2020
.'Q t� 00ndai iim Notary Publlo Underwriters
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