HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IIyf.O Maus BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ) ''] Permit Number: D (0 �7
Building. Permit Application AUG 2. g zow
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: 23 MONTEREY WAY.
Legal Description,. SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks . Front 27'. Back: 15' Right Side: 15'6" Left Side: 1.5'
DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3' BEDROOM / 2.BATH / 2
GARAGES
CONSTRUCTION INFORMATION:
Adcliti.onal work to be performed . uncler this permit— check all apply:
ZHVAC Gas,Tank Gas Piping n Shutters. Q Windows/Doors
Z✓ Electric ✓� Plumbing Sprinklers Generator g Roof
Total Sq. Ft of Construction: 2,324 S . Ft. of First Floor: 2,324
Cost ofConstruction: $ $58,000 Utilities.
Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Company: Wynne Development Corp.
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) 878-5513
Fill in fee simple Title Holder on next page (if different
E-Mail:
State or County License: CGC03599
from the Owner listed above)
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:
Address: 417 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 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 approvedplans, 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
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_ Signature of Owner/ Lessee/Agent
1 IVULILC UI L.UIIIIIICIIGCIIICIIL.
s
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOTIDt
COUNTY OF S, 14 c 9 V COUNTY OF r . ccc
The forgoin instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '�d�jiof W�cc,.c�rT 20 Eby this Ajgayof /4-u-G4,t.r'- ,20 L'by
L�cC l uIN N c %'�AlrWe L1i LV YN�z
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known _� OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Type of Identification Produced
p >;,, DOROTHY NN ASKIN
Commission No. :.? MYCOM N#GG030145 Commission No. ;'a: '� 4'(£': [
0 1 1.: Y COMMISA G 030145
EXPIRES: October 2, 2020 ;' �e�F EXPIR5S; Octobeir 2, 2020
,•�i};REfk�a•�, Bonded Thru Notary Public Underwriters „__,_,,.,._....__.,....,,_„_�__._.__
Revised 07/15/2014
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