HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:] 7 / l
SCANNED
-- BY
_ St Lucie Caui fV
Building Permit Application
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
Address: 168 CAMINO DEL RIO
Legal Description: SECTION 27 / TOWNSHIP 36S / RANGE 40E
Property Tax ID #: 3427-111-0002-000/5
Site Plan Name: SPANISH LAKES
Project Name: RIVERFRONT
Setbacks Front 28' Back: 26'
Right Side: 18' Left Side: 13'
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE
2 BEDROOM 12AW g / GARAGE
').`la n
Lot No.
Block No.
Aaamonal worK t0 De errormea unaer tnis permit— cnecK all apply:
✓❑— HVAC _ Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,282 S Ft. of First Floor: 2,282
Cost of Construction: $ 58,000 Utilities:In Sewer []Septic Building Height:
+
CONTRACTOR:
Name WYNNE BUILDING CORPORATION
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: 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:
from the Owner listed above)
State or County License: 8898
If value of construction is 525UU or more, a RECORDED Notice of Commencement is required.
I
•
MORTGAGE COMPANY: x Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name: BRAZEN&BRAUEN
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
City: State:
Zip: 34995 Phone: (772)287-8258
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA /
COUNTY OF ST- �4 h
t c. COUNTY OF S—.. " c r a
The 20 17 by forg i g instrument was acknowledged before me I The forgoing instr ment was acknowledged before me
this LTay of—C&-),WFSe—x- this � day of F CE»7,aC7C 20� by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic- State of Florida
✓c—)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
,�' utn" 0_111�
(Signature of Nota6l Public- State of Florida )
Personally Known 6""� OR Produced Identification
Type of Identification,gM&ced
DOROTHYANN BASKIN
' COMMI�t GG 030145 Commission No. ' r ��'�';��= DOROT(���1 gASKIN
EXPIRES: October 2, 2020 ? ; ; ve MY COMMISSION # GG 030145
.dTh.,NntarvPublicUnderwriters I',d"o�: �P�,•o JEXPIRES: October 2,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
t
COMPLETE
I I
INITIALS