HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,` =
Date: .'� f Permit Number:
6
Building Permit Application . .... j6g, 1
:Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 462-1553: Fax; (772) 46245,78 :C0mrherdal. R2SICIe.rltlal X . . .
PERMIT APPLICATION FOR:: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 44.LAGOS DEL NORTE
Legal. Descriptiori:. EAST 1/2.OF. SECTION. 1:-_TOWNSHIP 34S -RANGE 39E .
. .. .... .. .. .... ..
Property Tax ID #: 1$01-111-0001-000-5 .
Lot -No.
Site Plan -Name- COUNTRY. CLUB VILLAGE
Block No.
Project Name:
.. .
.. ..
Setbacks Front26': : Back: 23' :Right Side:
..
- LeftSide: 16'
DETAILED DESCRIPTION OF WORK:
. ... .. .... .. .... .. ... .... .. ....
SINGLE FAMILY RESIDENCE (replacement: home) = 3 BEDROOM - 2 BATH = 1 1/2 GARAGES
CONSTRUCTION INFORMATION:
Additional.wor .to . e e orme-under_ t, ispermit.—'c, ec
ZHVAC Lj Gas Tank Gas Piping
-a
apply:.
.. .
Shutters. Q W.i.ndows/Doors -
.
_
�✓ Electric Plumbing Sprinklers
] Roof
.
Generator j
:Total Sq. Ft of Construction.: 2,484
S . Ft. of First Floor:: 2,484 .
Cost of Construction: $ 58,000 Utilities:
Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name WYNN.E-BUILDING DEPARTMENT . .
Name:_ MATTHEW LYLE WYNNE
Address: 8000 SOUTH USAWY. 1--SUITE 402
WYNNE -Company: DEVELOPMENT:CORPORATION
City: PORT ST, LUCIE . _ State: FL _
-:
Address:.8000 SOUTH US. HWY. 1 -SUITE 402
Zi Code: 349.52 .. 772 878=7656
p Fax. )
.
PORT ST:
City. .LUCIE
772
Phone.No: ( ):878-5513
`
. State:F�..
Zip Code: 34952 772 .8 Fax:' (: ) 78-7656
.Phone
No.:(772) 878-551.3
TitleHolder on.next. page (if.different'E=Mail:.
Leecsi
isted above)State
or-Coun- License: 08898
tion 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 orand 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 concurrency review: room additions, -
accessory structures, swimming pools, .fences, walls, signs; screen rooms and accessory uses to anothernonresidential 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 recording your Notice of Commencement. .
s
—Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA.
COUNTY OF 5 COUNTY OFS _ 1-;a.
The forgoing instrume t was acknowledged before me The forggg�ling instrument was acknowledged before me
this f� day of 20 L7 by this (d7 tay of 20 17 by
rN� .. �I%19 L� LYG� �!V�N/VL
(Name of person acknowledging) (Name.of person acknowledging)
(Signature of Notey Public -State of Florida) (Signature of Nota Public - State of Florida )
Personally Knowny OR Produced Identification Personally Known .r/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
,., DOROT YA BASKIN '"K:;A;.,, DOROTH ASKIN
Commission No. ;' YCOMMI�#GG030145 Commission No. Affl
COMMISS G 030145
Lo;? EXPIRES:October2,2020 �;?;' ycc EXPIRES: October 2,2020
Revised 07/1
REVIEWS
FRONT
ZONING.
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW-
REVIEW
DATE
COMPLETE
INITIALS