HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit -Number:
- ------ EW - RECEIVED
St LUC16 Co 600
J 0 01 . 8
JUN 0 8 2018.
Building Permit. Applicatio
Planning and Development Services Lu co
ST.=
cie uny,
Building and Code Regulation -Division
2300 Virginia Avenue, Fort Pierce FL 34982
1553 Fax:, (772) 462-1578 'Corhmercial. Residential:
Phone: (7.72) 462
PERMIT APPLICATION FOR: Buildin
.9
-PROPOSED IMPROVEMENT LOCATION.;
Addre'ss�: - $5 AZUL -
Legal be'scription. EAST 1/2 OF SECTION 1 - TOWNSHIP,34S'-. RANGE 39E
Property Tax I D #: 1301'_11.1-0001-000-5
Lot No. -
Site Plan -Name: COUNT�MLUB VILLAGE Block No.'
Project Name:
Setbacks Front 30' Back:1 7' Right Side: .14' Left Side:' 1.6'6"
F6ETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE .(replacemen, t hom'e) 2 BEDROOM - 2 1/2 BATH 2 GARAGE
L,-n4txtt ex b2na e
(-ecc e;3h
C&NISTRUCTION INFORMATION:
Additional work to be nPrformed under this'permit — check- all apply:
Z 0.... 0
Windows/D
. HVAC. - G . as Tank - Gas . Piping Sh utte�rs, "Oors-
Electric Plumbing . Sprin rs Generator Roof
Total Sq. Ft of Construction: 21381 S Ft -of F . irst Floor: 2,381
Construction::$ 581:000 Util 'r
Cost of. ities. Sewe _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
'Nam - WYNNE-BUILDING DEPARTMENT
e
Name: MAT -THEW LYLE WYNNE
A . ddress: 8000 SOUTH US, . HWY. 1 - SUITE 402
Company: VWNNE DEVELOPMENT CORPORATION
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' .-FL-
state.
Phone No., (772) 878-5513-
Zip Code:, 34952 Fax: (772) 878-7656
:E-Mail:
-5513
Phone -No. .(772) 878,
Fill in, fee simpleTitle Holder on next. page if different
&-Mail:
from the Owner listed above)
State or County License: 08898
If value of co.nstruct.ion is$2500or mo.re, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE -COMPANY* Not Applicable
Name: BRADEN&BFMD�N
Name:'
Address: 417COCONUTAVE.
Address:
.City: �TUART State: �L. 'City: -State:
Zip: $4996 Phone� (772)287-8258 Z* Phone:�
Ip:
FEE SIMPLE TITLE HOLDER:, . Not. Applicable" BONDING . COMPANY:.' N.o't . Apo . I i cabl e
Name: Name:
Address-.., Address:
City: City:
.,Zip: Phone:. Zip: Phone:
I certify that no work or. installation has commenced.prior t6the issuance.of a permit.
St. Lucie County makes no rep resentation that is granting apermit'lwi I I a uthorize the erm it holderto build the subjectstructUre
which is in conflict with any applicable Home Owners Association r6les, bylaws or- a n9covenzints that may restrict or prohibit such -
structure. Please consult with your Home.Ownets Association, and �eview your.cleed for any restrictions which may apply..
In considerationof the granting of this requested permit, I do hereby agree that I will in all respects, perform the work
in accordance with the approveciplans, the Florida Building Codes iind St. Lu6e_C6unt'y Amendments.
. .. . .. ....
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swi mmi ng pools, fences, walls, signs, screen �,00ms and accessory uses to a.nother non-residential use
WARNING TO OWNER:.Your failure.to Record a'Notice of Commencement may result in- your paying twice for
impiroverne n-ts to yiour� pm.p6rty.'A Notice.of:Commericernent must be recorded and posted an the j6b.site
before the first inspection. Ifyou intend to obtain fihan6ing, c6nsUlt with lender or -an attorn'ey before
commencing work or retording.,your Notice of Commencement...'
. ............
-S
i/Agent Signature of Contractor/License Holder
Signature of Owner/ Lessee
STATE OF FLORIDA STATE OF FLORIDA:
C 0 U N TY OF S-7-- 4-4 c:-'r �7 U NTY 0 F
The forgoigg instrurTfent Was acknowledged before me The forgoing instrument was acknowledged befbre.me
thisC2_'?i'day of y4i—f 20 Uby this i2eday of 20 LL_ by'
Yv 0 1�
L-1 'Iti /U Cc
(Name of person acknowledging) (Name of person. acknowledging)
.... . ......
(Signature of Notza Public- State of Florida (Signature of Notary Qblic-: State of Florida
Personally Known. V/1"OR Produced Identification Personally Known OR Produced Identification
Type of Identifi Type of Identification Produced
00ROTHYANN BASKIN
Ap a DOROTtAYAMBA KIN
Commission No I..;! MY comMISSIONgio 030145 Commission No
EXPIRES: October 2, 2020 IAY POMMI11 030145
Banded ThruNotery Public Underyadlers tXPIR�S: October 2, 2020
Revised: 07/15/20-14'
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INITIALS