HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !� ^
Date: Permit Number:
Building. Permit Application. ;DEC, 06.4' 17'
Planning and Development Services
Building and Code -Regulation Division PERMI fTING.
2300 Virginia Avenue,' Fort Pierce FL 34982 St. Lucie County; FL
Phone: (772) 462=1553. Fax: (772) 462-1578 -COI' mercial Residential X
PERMIT APPLICATION FOR: Building -
PROPOSED IMPROVEMENT LOCATION:
Address: 4 ECUADOR WAY
Legal Description: EAST 1/2 01F SECTION T - TOWNSHIP 34S -.RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks . -Front 26' Back:
DETAILED DESCRIPTION OF WORK:
-Lot No.
`- Block No.
Right Side:.13' Left Side: 21
SINGLE FAMILY RESIDENCE (replacement home) = 3 BEDROOM - 2- BATH -1. 1/2 GARAGES
CONSTRUCTION INFORMATION:
Additional work to be erformed. under tispermit—check all apply:
�✓ HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric Plumbing ❑Sprinklers E Generator Roof
Total Sq. Ft of Construction: 2;484 S . Ft. of First_ Floor: 2,484.
Cost of Construction: $ 58,000 Utilities:Sewer Septic 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: (772) 878-7656
City: PORT ST. LUCIE State: FIL
.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.
-.t
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: BRADENBBRADEN
Name:
Add rest: 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 applicableHome 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
commencing work or recording Vour Notice of Commencement. .
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDAf� A
COUNTY OF ,S�--r-t
The forgoing instrument was acknowledged before me
this i�r`f`day of Alo a&-7r 6-X_ , 20 _by
STATE OF FLORIDA /
COUNTYOF-S^, k c.re
The forgoing instrument was acknowledged before me
th is Ak!d'ay of JVo dFMdE-;1C , 20 17 by
%%i f wwe-c J Yc_€ Gfi y) N'
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nct y Public -State of Florida )
,Personally Known OR Produced Identification
Type of Identification Produced
L
(Signature of Nota Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced _ __ __mot
DOROTHYANNBASKIN
Commission No. :' ' �= ORiMISS(�19dIG030145 Commission No.
EXPIRES: October 2, 2.020
Revised 07/1572014
bOROTHY ANN BASKIN
COMMISSIC{t$eaQ 030145
EXPIRES: October 2, 2020
:,a rnn, Nnim Public Underwriters
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