HomeMy WebLinkAboutBUILDING PERMIT AFFIDAVIT7771 Aii Appi ir - Aw V INFO M"QT BE COMPLETED FOR APPLICATION -TO BE ACCEPTED
Date: Permit'Number:
S�UANNLU
.... .. .. .. ..
1140 C0110h RECEIVED -
Building. Perm it.-Appl ication.,
JUIN4.8 L
Planning and Development Services
Building and Code Regulation Division S1. Lucie Co.unty, Pern.iitting
-2300 Virginia Avenue, Fort Pierce FL 34982
I - - - Retidential X%
Phone:, (772) 4612 1553' Fax: (772)�462-1578 c6mmercia.1
P�.RM.MAPP.L.I CATION FOR:. IBuildin' 9
PROPOSED IMPROVEMENT LOCATION:
14 381'DULCE REAL
-Address:
Legal be-scriptJow. 6/7 34,39 all that part lying northeasterly of k95
7
Property Tax 10 1306-11:1 -0001 -000/0 Lot. No. -
Site Plan -Name: SPANISH LAKES FIAIRWAYS Block No.'
P roject Na me:
Setbacks :Front 3 1'. Bac I k:16' Right Side: 16' Left Side: 1.5'
DETAILED.DESCRIPTION, OF,IWORK:
. .. .... .. .... ....
SINGLE FAMILY:kESIDENCE.(replacem n me): 2 BEDROOM t 2 1/2 BATH 2 GARAGE
j,��exj�c-,d FQk�0 -slick
E O�NST'RUCTION INFORMATION:
e e or d
Accliti.onal.worK.to b rt me, underthis permit—check-all'that apply:
g rs.
HVAC Gas Tank Gas Pipin Shutte E]Wi.ndows/Doors-
Electric P
lumbing . Sprinklers Generator Roof
J�p
2,381
:Total Sq. Ff of Construction: 2.,381 1 Sq. Ft. of First Floor:
Cos - t of Co . nstruction:-$ 58,000 Utilities:0 sewer: D Septic -Building Height:
OWNERAESSEE:
CONTRACTOR:
'N I am WYNNE-BUILDING 06RP.
e
Name: MAT THEW LYLE WYNNE ... . ....
. . A e� - 9000 SOUTH US HVVY. I SUITE 402
ddr ss:
Company: WYYNE'DEVELOPMENT -CORP.
Cit,-� PORT ST. LUCIE FL
State;
Address: 8000 SOUTH US HWY. 1. SUITE 402
Z . ip Code. - . 34952 . Fax:'(772) 878 . -7656
City: PORTST. LUCIE State: FL. .
Phone No .(772)878- - 5513-
Zip Code: 34952 Tax: (7 72) 878.-.7656
:E-Mail:
Phone:No. .(772) 878-5513.
fill in fee sJrn pie Title Holder on, next. page if,diffempt
E-Mail:..
�rom the O'wner.,Iisted above)
state or County License: CG.003599
If valibie of construction is $2500 or mo.rq, a RECORDED Notice of Commencement is requ.ired.
N
.4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY- Not Applicable
Name:. BRAbEN & BRAD�N
Name:
Address: 417COCONUTAVE.
Address:
.City: �§TUART State: FL
City: State:
Zip: 34996 Phonei (772) 287-8258
Zip: Phone::
FEE SIMPILETITLE Not Applicable
9ONDINd COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: q
Zip. Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.:
St. Lucie,C6unty'rnakbs no representation thzi6s granting a -permit will authorize the�permit,'holder to build the subject structure'�'
which is n contlict with any applicable Home Owners Association rules, bylaws or anCI.cqAyv�','6nts that -may restrict or prohibit such -
structure. Please consult with your Home Owners Association and review your cle 'd for"', 'restrictions which may a poly.
In considerationof the granting of this requesteld permit, I do hereby agree th"4"t''i�Will;-In"�ll,respects, perform the work
ida Building Codes and St.'. Lucie County d
in accordance with the approved Plans the Flor
Ameni ments.,
The following building permit applications are ' exempt from undergoing a full &ricurrency revi*ew: room additions,
accessory structures,.swimming pools, fences, i6ls, signs, screen rooms and,accessory uses to another non-residentizil use
WARNING TO -OWNER: Your failure.to Record a Notice of Commencement may result in your paying twice for
improvements to your�property. A Noti6.e of Comm.en cement must'b6 recorded and posted o . n the jobsite
before the first inspection. If you ihtend;t6 obtain financing, consult with lender or an -attorney before
commencing work or recording your Notice of Commencement.
S
Signature of Owner/ LesseLi/Agent Signature.of Cbntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
r
.COUNTYOF COUNTY -OF.
The forgoing instrumbrit was acknowledged beforp me The forgoing Instrum ' ent was acknowledged before me
thisep_� #�y of M 20 1-8-by this -14ay (if 20 by
Ar7-)+ X-L-> Ly C6 Y,U Arr� lq_��ew 'IV IV
(Name of person acknowledging) .(Name of person, acknowledging)
(Signature of Not®r Public -State of Florida (Signature of Not ublic- State of Florida
Vy.
Persona I ly'Known L�/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced' peof Identification Produced
Ty
Commission No. f�7 W.F4v"', nOROTHYANN 3
0 THYXNN BAbKIN
D RO'
Commission
§11G 030145
ct G
MYCOMMISSION#G 03014 5
ber2,2020
EXPIRES: Oct
Bonded-ThruNotarviDuhlin-11
Revnised 07/1
REVIEWS
FRONT.
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE,
COUNTER
REVIEW
REVIEV�-'
REVIEW.
REVIEWL
REVIEW
REVIEW
DATE
COMPLETE
INITIALS