HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.f�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^^��.3T �/
Date: Permit Number: /TO. — yy��J /
SCANNED
BY
St Lucie County r�
Building Permit Application
Planning and Development Services DEC 0 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 1'c.r' ri PfTuCa
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Lucle County, FL
PERMIT APPLICATION FOR: Building
Address: 1 CORTEZ
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 21'6" Back: 20'4"
Right Side: 15' Left Side: 20'
Lot No.
Block No.
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH /
GARAGE
Haamonai worK to oe errormea unaer finis permit — cnecK an apply:
❑✓— HVAC _ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑✓— Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,124 S�Ft.j of First Floor: 2,124
Cost of Construction: $ 45'�' Utilities: L_ISewer Septic Building Height: _
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) 878-5513
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.
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)287-8268
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 vour Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF .S�'. /.�-c c- e c COUNTY OF S i.
The forgo igg instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this Ls ay of FCE»+ En 20 I by this lS day of ULcC&';1nBE7Z , 20 17 by
/) //4 erivet -) C'/C-C-- (/U yN N G I f ; 1' 47TNE-7J Z Ad:- (N YN W t
(Name of person acknowledging) (Name of person acknowledging)
LL6" av'-'/`<►Q.
(Signature of Nota ublic- State of Florida I (Signature of Not Public- State of Florida )
Personally Known ✓ OR Produced Identification Personally Known 1✓ OR Produced Identification
Type of Identification PotUrp Type of Identifications I
;';�{;Py., DOROTHYANN BASKIN
Commission No. 3 "' ��•KAy COMMISSIC(15490030145 Commission No.
:a,= EXPIRES:October2,2020
_.oa: a,,, Wi Teti Notary Public Underwdieis
Revised 07/15/2014
DOROTrQQAI�J BASKIN
MY �"OruIMIaIW# GG 030145
EXPIRES: October2, 2020
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