HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \a \ �+� �1 Permit Number: 0_1 �J
SCANNED
BY
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ST LUCIL= , O�y1 'Y T
Building Permit Applicatioln, DEC 2 8 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 Commercial Residential X
PERMIT APPLICATION FOR: Building
P PROV AMEN LOCATION:
Address: 1 ESPANOLA
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 21'6" Back: 20'10" Right Side: 18' Left Side: 17'
D @000MM OF WO M
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE Z BEDROOM / 2 BATH /
GARAGE
N 'O MATZO
AcFdO
itiona wor to je ne orme un er t is permit — a c ec app y:
❑✓L_
— HVAC _I Gas Tank ❑Gas Piping _ Shutters Windows/Doors
❑✓_ Electric [z] Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,124 S Ft. of First Floor: 2,124
Cost of Construction: $ — !{ D . �sUtilities Sewer 0 Septic Building Height:
Q L S�
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Company: Wynne Development Corp.
Address: 8000 South US Hwy. 1 Suite 402
Address: 8000 South US Hwy. 1 Suite 402
City: Port St. Lucie State: F�
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.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Braden&Braden
Name:
Add ress: 417 coconut Ave.
Address:
City: Stuart State: Ft..
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 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 ontractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF !gr. C. In l COUNTY OF S-r-
The forgQ y' �g instrLiment was acknowledged before me The forgo�i g instrument was acknowledged before me
this _J5 Uay of C Ce7'nd e— C 20 ruby this /� day of .Dc -6E-rn , 20 t 7 by
Mtgfr * Fw //n.477-}I&-W L yC_c Gy YNN
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No ry Public- State of Florida) (Signature of Notad Public- State of Florida )
Personally Known --."OR Produced Identification
Personally Known ---"`OR Produced Identification _
Type of Identification Produced
Type of Identifica
'�`•:'r?,, DOROTHYANNBASKIN
,:�?:,; DOROTH BASKIN
Commission No. ?�w••. )
Commission No. ,_ ;.: MYCOMMISSIft6p,030145
MY COMMISSION # GG 030145
- o; EXPIRES: Oc ober 2, 2020
EXPIRES: October 2, 2020
Bonded Thht Notary Puolic Underwriters
Revised 07/
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