HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `a a$. SCANNE® Permit Number:
BY
` St Lucie County � !� � r
Building. Permit Application, DE.0
Planning and Development Services
Building and Code Regulation Division�`'c
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax:_ (772) 462-1578 - C.omrnerdal Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:- 2KACHINA .
Legal Description: SECTION.26 [TOWNSHIP 36s / RANGE 40e
Property Tax.ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 21�- " Back: 37'6,' Right Side: 20'
DETAILED DESCRIPTION OF WORK:
Left Side: 22.'
Lot No'
Block No. -
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM % 2 BATH / : 1
GARAGE .
CONSTRUCTION INFORMATION:
'Additional work to e nertormed under this -permit —check all t= apply:
HVAC.. 0Gas Tank []Gas Piping . Shutters a Windows/Doors.
-✓ Electric z Plumbing -Sprinklers - Generator g Roof
.Total Sq. Ft of Construction: 2,124 S . Ft. of First Floor: 2,124
Cost of Construction:$ ,1 1- Utilities:Sewer-- Septic Building Height:
T
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne 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
.Fill in fee simple Title Holder on next page (if -different.
E-Mail:
State or County License. CGC03599
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
IVIORTGAGE.COMPANY _ Not Applicable
Name: Braden.&Braden
Name;
Add ress: 417 coconut Ave.
Address:
City: sioart State: FL
City: State:
Zip: 3499E Phone: (772)287-8258
Zip: Phone:,
FEE SIMPLE .TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 'Not Applicable
Name'
Address:
_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 authorise th.e'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 yod 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 FLORIDA
COUNTY OF
The forgdng ins ument was acknowledged before me
this L ay of F In en 20 Lby
STATE OF FLORIDA
COUNTY OF `- Gad
The forgoi g inst ment was acknowledged before. me
this /Su
ay.of E CjE r,",6eX20 /7 by
PA
(Name of person acknowledging) (Name of person. acknowledging)
&Z" )06t��_
(Signature of Nota ublic-State of Florida )
Personally Known �/ /. OR Produced Identification
Type of Identification Pro uc
, DOROTHYANN BASKIN
Commission No.. = gOMMIS600G6030145
= EXPIRES: October 2- 2020
Revised 07/15/2014
(Signature of Notary jblic- State of Florida )
Personally Known OR Produced Identification
Type of IdentificationrPc�eda.�__
'` "'• DOROTHYANN BASKIN
Commission No. MY OOMM(&Qq# GG 030145
EXPIRES; October2, 2020
�'•%F F ; ?,; Bonded Thru Notary Public Underwdieis
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SUPERVISOR
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VEGETATION
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MANGROVE
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COMPLETE
INITIALS
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