HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number: `� o-136
SCANNED
BY
- --- -- -- --- - St I ude County
Building. Permit Application DE(A" 2017
Planning and Development Services
Building and Code Regulation Division rig 1 `i MG •
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 11 GOLF
Legal Description: SECTION-26 [TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 32' Back: 24' Right Side: 15' Left Side: 1.6'
I DETAILED DESCRIPTION OF WORK: I
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH /
GARAGE
CONSTRUCTION INFORMATION:
Additional. wor to be nertormed . under this permit— check all apply:
�✓ HVAC Gas Tank ❑Gas Piping _ Shutters ElWindows/Doors
Z✓ Electric ✓❑— Plumbing. []Sprinklers Generator Roof.
Total Sq. Ft of Construction: 2,108 : 5 . Ft. of First Floor: 2,108
Cost of Construction: $ �8aa $ Ld Utilities:Sewer OSeptic Building. Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle. Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne. Development Corp.
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) 878-551:3
Fill in fee simple.Title Holder on next page ( if different
E-Mail: .
from the Owner listed above)
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Y
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE.COMPANY _ Not Applicable .
Name: Braden$Braden
Name:
Address: 417 Coconi,tave.
Address:
City:. Stuart State: FL.
City: State:
Zip: 34995 .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 CountyAmendments..
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.ah.attorney before
commencing work or recording:vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA /
COUNTY OF S,—_: e.� COUNTY OF. -<2r
The forgo' inst ument was acknowledged before me The forgog instrument was acknowledged before me
this L ay of FcEm.� r'7t 20 1Zby this /S day of E2 , 20 17 by
InPf-e dC ,.) Lyc- CA) yr,roc= 1/n,077MLycE %UY1V_A4:
(Name of person acknowledging) (Name of person acknowledging)
(Signature of N Public -State of Florida) (Signature of Notar 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 07/1
OOROT BASKIN Commission No.
COMMISSIONr# GG 030145
EXPIRES; October 2,2020
UOR.OpW"N BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Banded Thtu Notary Public Underwriter
REVIEWS _
FRONT:
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE:
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW _
REVIEW-,
DATE
COMPLETE
INITIALS
.