HomeMy WebLinkAboutBUILDING PERMIT APPLICATION(`(SINGLE- FAMILY: RESIDENCE:(replacement home)-= 3 aWi(jnM&2TRto�.
- 1 1/2 GARAGES
�'IN J�SLAB WILL,B&BUILT,OFF: REAR OF HOME
�CONST,RUCTfON INFORMATION:
Ad tiona .work to be nertorme : _ un. er t_ is permit— c ec .a a.pp y;
Gas Gas ers Windows/DoorsHVAC.
�✓ Electric ❑✓_ Plumbing . Sprinklers GeneratorEl
Roof
otal Sq;.Ft of Con structi.d-2_�` S . Ft: of ;First Floor:.2,4
ost of Construction: $ 58,000 Utilities: Sewer Septic Building. Height:
I� —
�OWNERAESSEE::
CONTRACTOR:
aerie WYNNE BUILDING'DEPARTMENT
Name:. MATTHEW LYLE WYNNE . `.
ddress: 8000 SOUTH US.HWY. 1 =SUITE 402
Company: yVYNNE DEVELOPMENT: CORPORATION .
ity: PORT St. LUCIE ._ State: FL
Address:.8000 SOUTH US HWY. 1 - SUITE-402 -
Zip Code; 34952 :.. Fax:-(7.72-) 878-7656 ..
City: PORT.ST. LUCIE .. State: -FL.. ' .: .
1 hone No.- (772):878-5513
Zip Code:34952 Fax: (772)'878-7656
,E-mail: -
Phone No.:(772) 878-5513
I. ..... . ..
IIll i.n..fee simple Title Holder on -next page (if different"
. .
&-Mail:..
from the Owner'listed above)
I�
State or County License. 08898
..
SUPPLEMENTAL CONSTRUCTION LIEN .LAW INFORMATION: -
DESIGNER/ENGINEER: _ _ Not Applicable'MORTGAGE.COMPANY:
.. _Not A:ppficable . .
Na me:. BRADEN & BRADEN
Name:.
Add ress: 417 COCONUT AVE.
Address:
City:. MART' State: FL
City: State:
Zip: 34996 Phone: (772)297-8258
Zip: -Phone:
FEE.SIMPLE TITLE HOLDER:' . _ Not Applicable
BONDING COMPANY:. _ _Not Applicable
Name:
Name:. '
Address".
Address:
.
:City:
City:.. . .
Zip:. Phone:
Zip: Phone:
�. I certify that.no work or. installation has commenced prior to the issuance ofa permit.: . .
St: Lucie Countyy makes no representation that is granting a permit will authorize :the ermit 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 coricurrency 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 inyourpaying twice for
improvements to your:property. A. Notice of Commencement must be recorded and posted on the jobsite
before the .first inspection. lf:you intend to obtain financing, consult with lender oe:8n.attom6y before.'
commencing work or recording our Notice of Commencement..:
_ Signature of Owner/ Lessee/Agent Signature -of Contractor/License-Holder .
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57-. k,,-4 cr P COUNTY OF
The forgoi g instr . ent was acknowledged before me The forgoing instrument -was acknowledged before -me
this � day of 4 G-u s T 20 Eby this /��ay of �%y &,y s7— 20 % by
��fff L y6- lyy.1 Nc y� cif CYO Gv yN
(Name of person acknowledging). (Name.of person. acknowledging10
)
(Signature of Nota ublic- State of Florida) (Signature of Nota ublic State of Florida )
Personally Known. l/OR Produced Identification Personally Known �OR Produced Identification
Type of Identification. Produced Type of Identification Produced
;Y,, DON07HYA�} IN
Commission No. Commission No. SSIbh30145
` . OROTHY. W5 ASKIN MMI
MY COMMISSION # GG 030145 ` . EXPIRES: October2, 2026
.,
Bonded Th L, Notary. Public Undenvrifers
Revised 07/1
REVIEWS
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MANGROVE:
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DATE
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�NITIALS