HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
-Date:. Permit Number:..
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RECEIVED
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.Rung:Perppcao2018.
L. :'Planning and DevelopmentServices
Permitting Department. .
St.. Lucie:County .
Building and Code Regulation Division
. 7300 Virginia Avenue, Fort Pierce FL 34982 .
'. Phone; (772j 462=1553: - Fax:. (772) 462-1578 - Commer.Cial. • .. Residential
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PERMIT APPLICATION FOR:'Building
ANfV D.
PROPOSED' I:MPROVEIVIENT LOCATION:
'
Address: 7• LA VILLA COURT- ...
Legal Description:- EAST 112 OF SECTION-1 -.TOWNSHIP 34S'-.RANGE 39E .
Lot No:
. .... .. ....
PropertyT.ax ID #: 130.1-111-0001-000-5
Site Plan Name: COUNTRY.CLUB VILLAGE
Block No.
;.Project
Name:
Setbacks Front:24'6" _ Back: 15� Right Sid e:.12'T" Left Side:: 121" • .:
DETAILED. DESCRIPTION OF WORK::
�.
j
.. .... ..
SINGLE FAMILY RESIDENCE (replacement h&ne) = 3 BEDROOM - 2 BATH - 1 .1/2 GARAGES
.
....
_
YES -.!A .6X10 SLAB WIL.L.BE :BUILT OFF REAR OF HOME . .:..
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CONSTRUCTION INFORMATION:
!�Additi.onal.work to . e nertornned under t. is'permit.— c- ec :a
:. _.
HVAC. - Gas Tank Gas Piping
app y;
_.
Shutters
Windows Doors
�✓ Electric ❑✓—
d
Plumbing-. Sprinklers Generator
Roof
:Total Sq:.Ft of Construction: 2;484 : S . Ft: of :First Floor:: 2,484
Cost of Construction:$ Utilities:
Sewer
Septic-'
Building Height:
OWNER/LESSEE:
CONTRACTOR: .
Name WYNNE. BUILDINGDEPARTMENT
Name: 'MATTHEW LYLE WYNNE . .
Address: 8000 SOUTH US.HWY. 1 -SUITE 402
-Company: WYNNE DEVELOPMENT, CORPORATION
City: PORT ST. LUCIE .- State: FL
Address:.8000 SOUTH US HWY. 1 - SUITE'402 -
i1 34952 :.. 772 878-7656
Code:. Fax; ( )
-city: PORT.ST. LUCIE _ . State: FL...
. IZip
hone.No: (772):878-5513
Zip'Code:: 34952 Fax:- (772) 87877656
�E-Mail:
!l.
Phone No. (772) 878-5513 . .
fill in.fee simple Title Holder on -next.' e ( if.different.
E=Mail.:..
08898 =
rom the Owneriisted above)
State or County License:
If value of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
II SU'PPiLEIYIENTAL
CO'NSTRUCTI(3N LIEN LAW INFORMATION;
`
DESIGNER/ENGINEER: Not Applicable
MORTGAGE. COMPANY: ..:. _ Not Applicable
I :Name:. BRAIJEN B BRADEN.. -
Na me:
Address: 417 COCONUT AVE. :
Ad d re$$;'
-Clty:. STUART" Stater 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 certify'that no work orinstallation has .commence- d prior to the issuance.of:a permit., .
St: Lucie Counttyy makes.no representation "that is granting a-perrhit 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 such -
prohibit
9 structure. Please consult with your Home_Owners Association and reviewyour_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.Ame_ndments.
The'following'build'i.ng 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 myourpaying twice for
l.improvements to your: property. A. Notice. of Commencement -must be -recorded and .posted. on the jobsite
before th"e first inspection. If:you intend to obtain financing,.consult with [ender or.an attorney before '
commencing'Work or recordin our Notice of Commencement..:
_ Signature of Owner/ Lessee/Agent
Si nature.of:Contractor/License Holder.
g
STATE OF FLORIDA = .
STATE OF FLORIDA .
COUNTY OF
COUNTY OF: SSr1:r�.. Gi E—.
The forgoing instrument Was acknowledged before me
The forgo!g instrument -was acknowledged before.me
this ''ayof^U'G-�['sz 20 (by'
this /�/ayof1f�.0 sT. ZO '��'by
1/YI A77fry - L:y�' : �A:yNN c :
�,4�rc.:L ve- �,� y:�Af
(Name of person acknowledging).
(Name.of person. acknowledging)
(Signature of Nota ub/lic-State of Florida)
(Signature of Not P/ublic- State of Florida )
✓
Personally -Known. ✓ - OR Produced Identification
Personally Known . OR Produced Identification
Type of Identification Produced
Type of Identification Produced
,.�<cYeyB•., DOR Y NN3ASKIN
CommI5510n NO. os
o %Y A
ws sa _r msn �a
Commission"No. ROTHYq
MY CO.M 1i# GG 030145
.' EXPIRES: October 2. 2020.
F
r , , IN
+' «x: MY CO4�MISSION:# GG 030145.
S
Notary Public Undedvnters'
m:
Revised 67/15/2 ..
I. .
REVIEWS: -
FRONT:
ZONING �
' SUPERVISOR
PLANS
VEGETATION':'.
SEATURTLE -
MANGROVE: -
COUNTER.
REVIEW
REVIEW:.
REVIEW.-
REVIEW-
REVIEW.,-
..REVIEW..: -
DATE'
`.
COMPLETE
Y. INITIALS:
Il : .