HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED �/
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Date: • �% SCANNED Permit Number: /
STLUCE COUNTY
Building Permit Application DEG2 8 20
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
O ATIQN.
Address: 13973 GORRION CT.
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 33' Back: 29' Right Side: 19' Left Side: 20'
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE
• INFOR, A.T1 N:
Additionalwork to e e orme under this permit — check a apply:
❑✓HVAC E] Gas Tank ❑Gas Piping )Shutters Q Windows/Doors
— _
Electric ❑✓1 Plumbing Sprinklers El
Generator Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction: $ .2ltilities:Sewer E Septic Building Height:
O N /Aff MR15
CONTRACTC?R;
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
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
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S AL SON TI ORTKION LI N LA INFRRMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: 34995 Phone: (772)287-8258
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
�Il s
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLOR DA
COUNTY OF _ �—. i.�,A c, F
COUNTY OF =;
The forggqip�g inst ument was acknowledged before me
this J:Sr 20 Zby
The forgoing instrument was acknowledged before me
this /s ' tlay bf-6&-7W*6 20 17 by
ay of
of
W 1 -t6l rw t YC E W `iN N E
M q ?7NE7Ay Z—YC-E w Y.v N C
(Name of person acknowledging)
ZQ� 0-y-y, Aaa. �9-
(Name of person acknowledging)
0,=� 6_63-s�_
(Signature of Not Public- State of Florida )
(Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification
Personally Known t _icOR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. ":'••, DOROTKWBASKIN
Commission N :w 'r•, DOROTHYANNj5t�9►)v
•;;= MY COMMISSION # GG 030145
` ;: MY COMMISSION # GG 030145
EXPIRES: October2,2020
=.: EXPIRES:October2,2020
....�tg:'Bonded Thru Notary Public Un erm ers
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Revised 07/15/
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