HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
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Date: Permit Number:
SCANNED
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St LUde County 4' �:. i', Ay
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Building Permit Applicationti` `
Planning and Development Services
Building and Code Regulation Division SE �%..�I
A Cie
2300 Virginia Avenue, Fort Pierce 34982 Coffin
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential. X F�
PERMIT APPLICATION FOR: Building
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Address: 6471 CEI�IENDRA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 29' Back: 15' Right Side: 166" . Left Side: 166"
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SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM / 2 BATH / 1 1/2 GARAGES
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Additional work to je ne orme un er this permit -Check a apply:
❑✓L_
— HVAC _I Gas Tank Gas Piping _ Shutters a Windows/Doors
❑✓— Electric 0 Plumbing Sprinklers E] W1
Generator Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484
Ft
Cost of Construction: $ �s 14P, SSG 60 Utilities OSeptic Building Height:
OWN III
Name WYNNE BUILDING CORP.
Name: MATfHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE 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:
State or County License: CGC03599
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: BRADENBBRADEN
Name:
Address:
Address: 417 COCONUT AVE.
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; vour Notice of Commencement.
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_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFr E COUNTY OF Sr- " c.i ir
The forgoi g inst ument was acknowledged before me The forgoing instrument was acknowledged before me
this /�ayof �CFl71,&6X 20 2by this _J 'day of ])ECe"B€7'L,20 Eby
tn4 rr-Ate-XJ LY C 6�' Gu r.I AIr �7ry
#7,4e-w Cy c F (Ay y.vN tr
(Name of person acknowledging) (Name of person acknowledging)
oa:14" a" oQe_le� 0�
(Signature of NfJtry Public- 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 Identificat)e��uced
Commission No.
Revised 07,
�COM<JI�#GG030145 I Commission No.
EXPIRES: October 2, 2020
DOROTHY
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1n10swN # GG 030145
EXPIRES: Octnho, i
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