HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
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DEC 2 3 2017
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St. Lucie County, FL
Residential X
PERMIT APPLICATION FOR:
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Address: 21 DANZAR
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 36' Back: 17'
Right Side: 15' Left Side: 18'
Lot No._
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - GARAGE
Aaaitionai worK to lie nerrormea under tnis permit— cnecK ail apply:
ZHVAC L_J Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0✓ Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,275 S Ft. of First Floor: 2,275
Cost of Construction: o�� a'' Utilities SewerEl Septic Building Height:
CONM RANW,
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Company: WYNNE DEVELOPMENT CORPORATION
Address: 8000 SOUTH US HWY. 1 - SUITE 402
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: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: BRADEN&BRADEN Name:
Address: 417 COCONUT AVE. Address:
City: STUART State: FL City:, State:
Zip: 34996 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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.
s
_ Signature of Owner/ Lessee/Agent Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S- - C, r r COUNTY OF ST - " c c
The forg�i g instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this. Z ' day of 0 - C C-?w6 20 Z2by this 1,5 fday of 'DECc-7-m d M 20 ? 7 by
(Name of person acknowledging) (Name of person acknowledging)
K04, "I:�' 0"_' J6a4'L'_ A aCL
(Signature of Nota ub/lic- 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 Identification Produced
Commission No.
Revised 07/15/2014
DOROTHY
OMMISS ffilt�ASKIN I I Commission No.
�EG 030145
EXPIRES; October 2, 2020
DOROTHYA*M)KIN
( COMMISSION # GG 030145
EWRES; October2. 2020
od Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I
INITIALS
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