HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf
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Date:
Permit Number: I l +^�
SCANNED
Building 0 WAR" cation
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
DCLno 20V
V;_iNW111 TING
St. Lucie Cou_nty_JFl.
Commercial Residential X
PERMIT APPLICATION FOR: Building I
Address: 3 HUARTE
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 24' Back: 44' Right Side: 18' Left Side: 15'
Lot No.
Block No.
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH /
GARAGE
Haanionai worK to De errormea under tnis permit— check all apply:
W]HVAC Gas Tank []Gas Piping _ Shutters
RElectric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ $ 0 �,Ll q -Jo
Name Wynne Building Corp.
Address: 8000 South US Hwy. 1 Suite 402
QWindows/Doors
W1 Roof
S Ft. of First Floor: 2,108
Utilities: Sewer O Septic
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)
Name: Matthew Lyle Wynne
Building Height:
Company: Wynne Development Corp.
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:
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
MORTGAGE COMPANY:
_ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
Name:
.r :,
Add ress:417Coconut Ave.
Address:
City: Stuart State: FL.
City:
State:
Zip: 34996 Phone: (772)287-8258
Zip: Phone:
DEC
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
'JY,Qt #,Vlicable
Name:
Name:
St. Lucie County, FL
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.
�i s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF kX-4 < < r COUNTY OF �'; k Ac c
The forgog instryment was acknowledged before me The forg�g instrument was acknowledged before me
this L day of I E C6-?h4y-W- 20 .Lby this /.Cday of bEcc"�'n,5C - , 20 / 7 by
(Name of person acknowledging) (Name of person acknowledging)
Lu� a"� 16aali_ Aa,'a_�'
(Signature of Notio Public- State of Florida ) (Signature of Notary lic- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Personally Known ✓ OR Produced Identification
Type of Identification Pro I-- _Pd
Commission No. ,••':01 ., DOROTWMV BASKIN IR Commission No.
MY COMMISSION # GG 030145 16
Notary Public Underwriters
Revised 07/15
DOROT YANN BASKIN
MY ICI SION # GG 030145
EXPIRES: October 2, 2020
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