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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I Q1Ca l /� S OF Sri Building: Permit Applicatilm, DEC O',b 2011 -Planning and Development Services PERiViI i 7fiNG Building and Code Regulation -Division — St: Lucie Coun 2300 Virginia Avenue, Fort Pierce FL 34982 County,'FL. Phone: (772) 462-1553 Fax: (772) 462-1-578 . C.omrnerciai Resid2ntlal X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 107 CALLE DE LAGOS Legal Description:. EAST 1/2.017 SECTION.1 TOWNSHIP 34S - RANGE 39E 1301-11.1-0001-000-5 Lot No. Property Tax ID #; r Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front34'. Back:' Right Side: 17'5" Left Side:: 18' Fi DESCRIPTION OF WORK: SINGLE. FAMILY- RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH GARAGE CONSTRUCTION INFORMATION: Additional work to e e m ore un er this permit --c ec a apply:. ZHVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors. �✓ Electric . ✓❑— Plumbing Sprinklers Generator g Roof Total Sq. Ft of Construction: 2,108 S . Ft: of first Floor: 2,.108 Cost of Construction: $ 581000 Utilities: Sewer 0 Septic -Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE. BUILDING DEPARTMENT Name: MA17HEW LYLE WYNNE Company: WYNNE DEVELOPMENT CORPORATION Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE State: FL Zip Code:..34952 Fax: (772) 878-7656 Phone No. (772).878-5513 E-Mail: Fill in.fee simple Title Holder on next page (if different from the Owner listed above) Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE State: FIL Zip Code: 34952 Fax: (772)•878-7656 Phone No.:(772) 878-5513 E-Mail: . 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 COMPANY: Not Applicable . .Name:.BRAbEN&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 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 .fi_rst inspection. Ifyou intend to obtain financing, consult with lender or.an attorney before mmencint; work or recording vour Notice of Commencement. —� s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA' COUNTY OF COUNTY OF S. %e € The forg``oII i��g instrument was acknowledged before me The forgoing instrument was acknowledged before me Al 464ay of NO U � 6CX 20 .L7 by this � day of -/�Oy � Yr► 6 €X-, 20 i' 7 by Ng-rr#Cvw l/U Sr.,Vry 6- _ /�l% /4777leU C/- YL E ylyw 6 (Name of person acknowledging) (Name of person acknowledging ) (Signature of No Public- State of Florida) (Signature of Nota ublic- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known -_,.----OR Produced Identification _ Type of Identificationlclentffication Produced _ Type of Identification Produced .�:'�eya;. DOROTHYQ�CCNN ASKIN ��5,�'''4 DOROTHYP�C;�fiKIN Commission No. ;r iO Oh1Fr11SSICF�G030145 Commission No.rh�� cs t OhmhllSSl 030145 EXPIRES: October 2, 2020 IF EXPIRES: October2,2020 Revised 07/15/2014 REVIEWS _ FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE - MANGROVE COUNTER . REVIEW REVIEW .. REVIEW REVIEW REVIEW. REVIEW DATE COMPLETE �©I INITIALS