HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II r1
Date: Permit Number:
fftw SCANNED
BY
SBui'rldr`r, ,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 Residential X
PERMIT . • FOR:
I SI.
Address: 5 QUINTANA ROO LANE
Legal Description: SECTION 27 / TOWNSHIP 36S / RANGE 40E
Property Tax ID #: 3427-111-0002-000/5
Site Plan Name: SPANISH LAKES
Project Name: RIVERFRONT
Setbacks Front 31 ' Back: Right Side: 24' Left Side: 24'
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE
2 BEDROOM / 2 BATH / GARAGE
Lot No.
Block No.
Additional work to be nerrormeci unaer tnis permit— cnecK aii apply:
ZHVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Z_ Electric ✓❑_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction: $ �0 a.� % Utilities. — Sewer [] Septic Building Height:
•ImmE
CONTRACTOR:
Name WYNNE BUILDING CORPORATION
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State: FL
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
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: 8898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN & BRADEN
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: 34996 Phone:(772) 287-8258
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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
cuininencink wuric Ur recuruing your ivUtice Ur Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF ! r , L4 C[e COUNTY OF §-- "ete
The forgoing instrument was acknowledged before me The forgo..iT2g instrument was acknowledged before me
L'd this !ay of 1.)E- &t. , 20 1-9 by this /STday of'bE:c&--nrAeX_ . 20_J7 by
�'t/Af7 PEw Lv r tkJVNNL / t' 4777HG YL� � YNrJE"
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotW 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 Identification Produced
`'�?, y'•• DOROT,�YQA((�N BASKIN '`� F"•. NN BASKIN
Commission No. :'r:'��= YCOMM�td#GG030145 Commission No. dI : '�r:_ ' D`���a��
I: ire v1Y COI MS& N # GG 030145
:as EXPIRES: October 2,2020 $I •:,�_ EXPIRES: October2,2020
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