HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ.
ALL -APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE ACCEPTED "
Date: Permit Number: - 0
t� RECEIVED
Building Permit Ap`pai"��9v aui;:22o1e :.
:Planning and Development Services
Permitting -Department, .
Building and Code Regulation Division St. Lucie County .
'2300 Virginia Avenue,'Fort Pierce FL 34982 .
Phone: (772) 4624553 Fax:. (772) 462-1578 :C0171merdal. Residential X
PERMIT -APPLICATION FOR: Building,
PROPOSED IMPROVEMENT LOCATION:
:Address; 6523YEDRA.
Legal Description:. 6/7 34 39 all that part lying northeasterly of.A5 .
.. . ..
Property TaxlD#; 1306-11.1-0001-00010 Lot No. "
- Site Plan Name: SPAN ISH LAKES FAIRWAYS, -Block No.
Project Name: ..
Setbacks :Front:32'_ Back: 24'.. :Right Side: -1T Left Side::
fiDETAILED.DESCRIPTION OF WORK:
SINGLE- FAMILY.RESIDENCE" (replacement home): 2- BEDROOM / 2 BATH '/ GARAGE
NO SLAB. WILL BE BUILT OFF -REAR OF HOME
.. . . .. .. ..: .' .. ... .. .... ..
CON-TRUCTION INFORMATION:
1
"Additionalwork.to - e e orme under this permit.— c- ec :a app y:
1 . HVAC Gas Tank Gas Piping Shutters. Q Windows/Doors;- : -
�✓ Electric ❑✓_ Plumbing . Sprinklers Generator Roof
: 2 108 2.108 . "
�otal Sq. Ft of Construction. S . Ft: of First Floor::
���ostof Construction:-$ 581,000- Utilities:�Sewer -Septic Building.Height:
bWNER/LESSEE: _
CONTRACTOR:.
ame WYNNE BUILDING "CORP.- •
Name: " MATTHEW LYLE WYNNE- .
I 8000 SOUTH U U
Address. O S. HWY. 1 Sul 402
Company: WYYNE DEVELOPMENT:OORP.
City:" PORT ST: LUCIE .. State: FL'
:Address: -8000 SOUTH US HWY. 1. SUITE 402 -
hip Code: 34952':.. -Fax: (772) 87&7656 ..
City:' PORT.ST.. LUCIE State: FL...
Phone N_ o. (772):878-5513'
.. 34952 ' ' . .772 87877656
.Zip Code. Fax. ( )
E-Mail:
.
Phone No. (772) 878-5513
.
1{ ..
FIII in•fee simple Title Holder On. next. page ( if.different " ..
E-Mail:.• "
f om the Owner listed above)' -
State or County License:" CGO03599 ".
If V lue of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not -Applicable, :..
MORTGAGE. COMPANY: _ Not Applicable-
N a me:. BRADEN & BRADEN..
Name:
Add ress: 417 COCONUT AVE.
Address:
-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 certifV that no work or. installation has commencedprior 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 l 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 job' ite
before the .fi:rst ifispection. If you intend to obtain financing, consult 'with lender or an attorney before
II� commencing work or recordin .- -our Notice of Commencement. .
l
.s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST: I:;-t Lc F COUNTY OF 3_ Lt ci c
I The forgojii �g instru5pent was acknowledged before me The forgoing instrument -was acknowledged before.me
this /glay of S 20 Irby this %q day of i"-t" 46 u S -r 20 IN by
(Name of person acknowledging). (Name.of person. acknowledging) -
(� /6
(Signature of Not r Public -State of Florida) (Signature of Notary blic- State of Florida )
�,I.Personally Known. L"-,OR Produced Identification Personally KnownOR Produced Identification
Type of Identification Produced Type of Identification Produced
(Commission No.. Y P DOROTH`(�50dIP..ASKIN Commission N � DOrI)THYANtJ( ealt�l
MY �Or'h415SI0N # GG030145 & ', MY OOn, MISSION # GG 030145 k
EXPIRES: October 2,2020;.;_ ✓ �;PIRES:October2.2020: k
Bonder Tli u idotary Public UndervrntersJ� S� I r:: ;; _ Bonder, rhru Notary Public Underwriters. {j
Revised 07/15 .
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