HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONtf
ALL APPLICABLE INFO- MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application DEC 0 6 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553: Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 55 SAN.LUIS.OBISPO
PERMITTING
St. Lucie County, FL
Commercial ,Residential X
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-1 11-0001-000-5. Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 34' Back: 40' Right Side: 18, Left Side: 1.6' ,
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
CONSTRUCTION INFORMATION:
Additional work to . e nertorrned under this permit.— check all apply:
ZHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator FV/i Roof
Total Sq. Ft of Construction: 2,108 S . Ft. of First Floor: 2,108
Cost of Construction: $ 58,000 Utilities: o Sewer F. � Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWYNNE.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) 878-5513
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 requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE. COMPANY: _ Not Applicable .
.Name: BRADEN&BRADEN
Name:
Add ress: 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 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 .pay! ng twice for
improvements to your property. A Notice of Commencement must be recorded acid 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 our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
Signatur'� License Holder S
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF k-M c c C COUNTY OF
The forgoing instrument was acknowledged before me The forgo �q. instrument was acknowledged before. me
this 2�`�dayof p�,cyniSc'7Z, 20 /7by this�'dayof %1/0()67"/3 20 17 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public- State of Florida) (Signature of Nota blic- State of Florida )
Personally Known t/OR Produced Identification Personally Known OR Produced Identification
Type of IdentificatiRy.P"dType of Identification Produced
—�
DOROTHYANN BASKIN
=a ' •'; Commission
Commission No - OA1611SSI0(�i� 030145
EXPIRES: October2, 2020
Revised 07/15/2014
DOROTHYANN 1
`Ec�MMISSION #�G 030145
EXPIRES: October 2.2020
REVIEWS
FRONT_
COUNTER',
ZONING'
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE .
REVIEW
DATE
COMPLETE
I Co. (
INITIALS