HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Per I mit Number: %oL4 - o-?� a
RECEIVED
rmit Application A PR P�.�5 10'18
UIP 1191
Planning and Devel.opMent Services
Permitting Department
Building and Code Regulation Division St. Lude County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
.Address:: 14369 AMAPOLA:
6/7 34 39 all that part lying northeasterly of k95
.Legal. Description.
Property Tax ID #: 1306-111-0001-000/0.
Site Pla n Name: .: SPANISH LAKES FAIRW
Project Name:
,019.1
setbacks- Front - Back: 24'E
Right Side: 44�5" -Left Side: 27171"
,Lot No.
Block No.
DETAILED DESCRIPTION OF WOR.K:
SINGLE- FAMILY RESIDENCE (replacement home): 2 BEDROOM 2 BATH GA�AGE
CONSTRUCTION INFORMATION:
Additional work to b rtormed uncle�r his permit — c apply:
Gas T Gas Piping Shutters ow. Doors.
In Wind' 's/'
HVAC ank
El
zElectr ic P lymbing Sprin klers; Generator Roof
Total Sq. Ft of Construction: 2,124 Sq. Ft. of First Floor: 2,124-
Cost of Construction:$ 58,000 Utilities Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
'Name WYNNE BUILDING CORP.
Nam MATTHEW LYLE WYNNE
e.
Add ress: 8000 SOUTH US. HWY. 1 SUITE402
-Company: VMNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: FIL
Address: 8000 SOUTH US HWY. 1. SUITE 402
iZipCode--34952� Fax: (772) 878-7656
City: PORT.ST.,LUQIE State: FIL
Phone No. (772) 878-5513,
Zip Code- 349 . 52 Fax: (772) 87877656
E-Mail:
Phone -No. -(772) 878-5513
Fill in fee.simple T . !.tie Holder on ne)� ..g
pa e (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.
-4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
PESIGN ER/ENG.lN EER- Not Applicable MORTGAGE COMPANY- Not Applicable
. . . . . . . . . . . .
:Name:. BRADEN & BRADEN .. .... Name:
Add ress: 417 COCONUT AVE.
Address:
City: -STUART State: Cit State:
y:
Zip: 34996 Phbnei (772) 287-8258
Zip: Phone:�
FEE-SIMOLE TITLEHOLDER': Not Applicable BONDING COMPANY:' Not Applicable
Name: - -Name:
Address:. Address:
City:
city:
Zip: Phone': Zip: PhOne:
I certify that no -work orinstallation has commenc�id prior to the issuance of:a permit.:
St' Lucie Countymakes no- representation that is 'ranting a permit will authoriz6the ermit'hoilder to build th'e subject structure
9,
W�ich is in contlict with any applicable'Home Owners Association rules, bylaws or anscovenants that- may restrict or prohibit such
structure. Please consult with your Home Owners Association andreview your deed for any restrictions which may apply.
In consideratio n.of the granting of this requested "�errnit, I do hereby agree that I will, in all respects perform the work
p
.in accordance with the'apprcrVed�plansl_the Florida Building Codes and St. Lucid-Couhty.Amendments.
:The following building permit applications are exempt from undergoing a full coricurrency review: room additiom,
accessory structures, swim ming pools,fences,.Wall I s, signs; screen rooms and accessory -Uses to another non-residentizil use
WARNING TO OWNER: Your failureto Reco: rd a� Notice of Commencement may' result in your paying twice.for
improvements t . o your prop . erty. A Notice I bf Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender oran attorney before
commencing work or recording -your Notice of Commencement.
Signature (if Owner/ Lessee/Agent Signature of�Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA'
:.COUNTYOF COUNTY OF
The forgoing instrument Was acknowledged before me The forgoing instrument was acknowledged beforeme
,this 423 - Aay of )+i0P, i L 20 LLby thisa.edayof_ /4-rX/L__ ___120 L_L by'
r' LV c- ��qo
//j
(Name of person acknowledging) (Name of person acknowledging)
L
(Signature of Nota(gublic- State of Florida (Signature of Nota& Pu blic- State of Florida
Personally Known _LZOR Produced IclentificatiOn Personally Known OR Produced Identification
Type of Identification. Produced— Type:of Identification Produced
'P )OROTHY, NN tA KiN
C . Omm . ission No. 030145 commissio DOROTHYA NBA0201)
MYCOMMISSIO #GG0301'45
EXPIRES: October 2, 2020 EXPIRES:Oc ber2,2020
0
1--'-':Fhpd PleleFy 128M6 0,n -1 ... 7— 1.
J sonaea I 11ru Notary Public Underwriters
Revised 67/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE. -
COUNTER REVIEW REVIEW REVIEW REVIEW -REVIEW REVIEW....
DATE
COMPLETE
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