HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �jy�
Date: - SCANN5D' Permit Number: 0 /j-
-',: BY
�.: St Lucie County RECE9VED
Building Permit Application
Planning and Development Services DEC 2 2Qi7
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: 19 FLORIDA WAY
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 30' Back: 45'
Right Side: 14'6" Left Side: 41'6"
Lot No.
Block No.
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM / 2 BATH / 1 1/2
GARAGES
Haanionai worK to De errormea unaer tnis permit — cnecK aii apply:
❑✓— HVAC _ Gas Tank Gas Piping _ Shutters Q Windows/Doors
❑✓— Electric ❑✓_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 Sq. Ft. of First Floor: 2,484
Cost of Construction: $ �$ ���, b% Utilities: newer 0 Septic Building Height:
•oN-rlaAc�-oR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Company: Wynne Development Corp.
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
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: CGC035 9
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
v
A. Wmmunm LI N LAW I F•
RMA ION:
MORTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name: BradenaBraden
Name:
Add ress: 417 coconut Ave.
Address:
City: Stuart State: FL.
City: State:
Zip: 34996 Phone: (772)287-8258
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S- . L.µ cit
The forg�o iiag instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this _LS'day of—GG7►76 'x. 20 Eby lthis_�Edayof 20 C7 by
/ A rYJV f1--) (- Y C- 6� W yN A) t I-7) ,+mye-w �. YG E O YN Ne
(Name of person acknowledging) (Name of person acknowledging)
160 '�-
(Signature of Ncgry Public- State of Florida ) (Signature of Not4 Public- State of Florida )
Personally Known ./ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. - DOROTHYSKIN I ? d... DOROT!{1��BASKIN
�. tj� Commission No. :�: - ��((
e y OMMISSI G 030145 �� �1Y COMMI GG 030145
EXPIRES: October 2, 2020 �t, . EXPIRES: October 2, 2020
Revised 07/1
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