HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 Permit Number:. 10 5" �� 3.1
R E C E I %'rD MAY. 3110iZ :.: .:.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax:. (772) 462-1578 Commercial. Residential X :' ...
PERIVIIT APPLICATION FOR:., Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8 BOLERO
Legal Description:. EAST 1/2.OF, SECTION. --TOWNSHIP34S -.RANGE 39E
Pro ert.TaxlD #.
1301-111-0001-000-5 Lot No.
P Y I
Site Plan Name: COUNTRY LUB VILLAGE Block No.
Project Name: _ .. ✓ l/
Setbacks Front,30'Back: 34' Right Side:.14' Left Side: 14' .
DETAILED DESCRIPTION .OF WORK:
SINGLE FAMILY RESIDENCE (replacement home). - 2 BEDROOM,,- 2 BATH = GARAGE
CONSTRUCTION INFORMATION:
Additionaiwork.tobe ertormed.. under this permit —check. aapply:
Windows Doors
HVAC Gas Tank EGasPiping Shutters Q /
ZElectric, ✓❑_ Plumbing prinklers Generator' R000p
Ll�
Total S Ft of Construction: 2,108 S . Ft. of first Floor: .2,'08 : o
Cost of Construction:$ 58;000 Utilities: 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
City: PORT ST. LUCIE State: FL _
Address:.8000 SOUTH US HWY. 1 - SUITE 402
.:Zip Code: 34952 .. Fax: (77.2) 878-7656 ..
City: PORT.ST.. LUCLE 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:.
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.
I certifythat 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 reviewyour 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:Arriend ments.
--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:paying twice for
improvements to your:property. A -Notice of Commencement must be recorded and posted. on the jobsite:
:before the first inspection. lf�you intend to obtain financing, consult,with lender or an attorney before .
commencin work or recordingyour Notice of Commencement.
Signature of Owner/ Lessee/Agent
SignatUre.of Contractor/License Holder.
STATE OF FLORIDA
STATE OF FLORIDA.,
COUNTY OF
COUNTY OF S� 1.1. c cc
The forg ing instrument was acknowledged before me
this ��ay of kn /9-�( 20 l 7 by
The f�org�oi g instrument was acknowledged before me
thisoo "day of ✓Y) 0--f 20 � by
l �y-��Irfw L"y.&� . W y.�.Aj�
�Y147iW- -w :Cy�� Lu Y,rJA)€ ... .
(Name of person acknowledging)
(Name of person. acknowledging)
lees..
(Signature of Not Public -State of Florida)
(Signature of Nota ublio- State of Florida )
Personally Known_ ✓ OR Produced Identification'
Personally Known '/ OR Produced Identification
Type of Identification Produced
Type of Identification Produced -
,�P;•,, DOROTHY NN ASKIN
Commission No. : ; OMMISS�l���G 030145
EXPIRES: October 2, 2020
,,,
Commission No :.�; ?•, ROTHYAN � IN .
•:.? .MY COMMISSION # GG 030145,
:a�5
'•• �; „Vo Bonded IM Notary Public Undenvrtters .
Revised 07/15/2014
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION': '
DESIGNER/ENGINE.ER:_Not Applicable
MORTGAGE COMPANY:.
Not Applicable
Neme:.eRnoeNseRa,oeN
Name:
..
Address: alicocoNur,ave.
Address:
City:. STUART' State: F�
City:
State:
Zip: sasss � Phone- c��zi zs�-azsa
Zip: Phone::
FEE SIMPLE TITLE HOLDER:. Not Applicable
BONDING COMPANY:.
_Not Applicable
Name:
Name:
Address:
Address:
city:
city::.
Zip:. Phone:
Zip:.. Phone:
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REVIEW.
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REVIEW.
DATE
.COMPLETE
INITIALS