HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONz
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� I% Permit Number:
RE CEEVED
Building Permit Application ®�� 2 Z��7
Planning and Development Services
Building and Code Regulation Division SCANNED
2300 Virginia Avenue, Fort Pierce FL 34982 BY
Phone: (772) 462-1553 Fax: (772) 462-1578 Commerc2t Lucie CountResidential X
PERMIT APPLICATION FOR: Building
Address: 33 LAS CASITAS
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 Front 27' Back:
Right Side: 12'4" Left Side: 12'4"
Lot No._
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
Additional worK to lie nerrormea under thus permit— cnecK all apply:
❑✓_ HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric ✓❑— Plumbing ❑Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484
Cost of Construction:'� Utilities:Sewer ❑ Septic Building Height:
KC0191191 IT,
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
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: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applica
Name: BRADEN & BRADEN
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: s4996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 our Notice of Commencement.
G s
_ Signature of Owner-Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <'i COUNTY OF
The for,��ng instr ment was acknowledged before me The forgoyy.i��g instrument was acknowledged before me
this/S'raayof /FCf"6& L, 20 L2by this Vcayof 20 /7 by
.nA-rr,41ry L Y L E W YN tw t d77me-w L YLE GU yAj N t
(Name of person acknowledging) (Name of person acknowledging)
Gem.
(Signature of Notilry Public- State of Florida) (Signature of Not Public- State of Florida )
Personally Known ,-icOR Produced Identification Personally Known +' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No "'' •. ROTHYA KIN Commission No: �.,�:F:el�:s n��gOTHYAN� N
MY COMMISSION # GG 030145 }q's MY COMMISSION # GG 030145
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�F FLwBondeu Thru Notary Public Underwriters •'•���; p;�:¢`'Bonded Thru Notary Public Underwriters
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