HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Permit Number: I (( 'l ! a.' ()
Date:
SCANNED
BY
St Lucie County
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:
i;✓u�'.,->,`:la.`.L�-U JlytJi;''u;4�JVLi1viJ s,` � � � ` 1111U1�Jo— --_ -_, _----- -----
Address: 85 CALLE DE LAGOS
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front37' Back:21'
Right Side: 122" Left Side: 12'2°
Lot No._
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
Haaitionai worKto oe
❑✓— HVAC
❑✓_ Electric
errormea
_ Gas Tank
[z] Plumbing
unaertnis permit-cnecK all
❑Gas Piping
OSprinklers
In
apply:
Shutters
Generator
Q Windows/Doors
RoofV'
_
O
Total Sq. Ft of Construction: 2,108
Cost of Construction: $-4621"0 '14
S Ft. of First Floor: 2,108
Utilities:1n Sewer []Septic Building Height: _
CMW
CC3 TRA C1 I I OR:
Name WYNNE BUILDING DEPARTMENT
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
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above)
State or County License: 68898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
M
1a usiM_ r�nln!I" N '
DESIGNER/ENGINEER: _ Not Applica
Name: BRADEN & BRADEN
Address: 417 COCONUT AVE.
City: STUART
Zip: 34996
Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
Not Applicable
1
L�J
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone: _
certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF S-T_ k,u COUNTY OF S— "Gc r=
The forgoi g instrument was acknowledged before me The forgoiinn instrument was acknowledged before me
this j ay of -CGY� n6 2 20 .Zby this /s day of DFCC_M66 L . 20 1Z by
C y G E lN yN
i�:A rr)t� I /�A 71 si/� L Y c 67 GU y.�-N
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic- State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
_
Type of Identificatje��_
,e''•. DOR �THYII(P�NN BASKIN
Commission No. `' PSION # GG
DOROTHYANN BASKIN
Commission No. _- Q's MY COMMISSIWF 030145
MY COAfi9 030145
EXPIRES: October2, 2020
;/P : BXPIRES; October 2. 2020
Thru Notary Public Underwriters
ec ,',` ,Bohtled
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�1
COMPLETE
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INITIALS