HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j Q �i
Date:. Permit Number: �/y(v
SCANNED
' BY
St. Lucie Coup (Y
- — - Q RECENED:
Building Permit Application .
i . .
Planning and Development Services AUG .2 9 7.010
Building and -Code Regulation Division
1. 2300 Virginia Avenue, Fort Pierce FL 34982 . Permitting Department '
it Phone: (772) 462=1553 Fax: (772) 462-1578 :Commercial. Residential rLucie county
I,PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8CORDOVA
.. ...
Legal Description.SECTION 26./TOWNSHIP 36s / RANGE 40e.
j . 3414-501-1701-000/9.. :.
Property Tax ID #: : Lot No:
SPANISH LAKES ONE
Site Plan Name: Block No.
�113rojeci Name:
� Setbacks :Front 166" . Back: 38'Right Side: 19' Left Sider 32'
it
DETAILED:DESCRIPTION OF WORK: .
MOBILE.HOME REPLACEMENT:_ SINGLE FAMILY RESIDENCE - 2 BEDROOM /-2 BATH / GARAGE
j4 NO SLAB TO BE BUILT OFF: REAR OF HOME ...
�:. .
CONSTRUCTION INFORMATION:
Additionalworkto . e e
HVAC.
orme under this permit —'check- a
Gas Tank - E]Gas Piping ,
_
apply:
Shutters Windows/Doors -
✓ Electric Z Plumbing Sprinklers .Generator ✓ Roof
Total Sq.-Ft of Construction: 2,124 S -Ft. of :First Floor: 2,1.24
Cost of construction S $58,000 Utilities: Sewer Septic Building Height: .
OWNER/LESSEE:
CONTRACTOR:
:-Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Company: Wynne Development Corp.
Address: 8000 South US HWY. 1 Suite 402
City: Pori St. Lucie- State: FL
Address: 8000 South US Hwy. 1 Suite 402 - . .
Zip Code> 34952 :. Fax: (772) 878=7656
City: Port.St:. Lucie :.. State: FL. .
Phone.No. (772)878-5513
Zip Code: 34952 "Fax: (772) 878-7656
E-Mail: w
Phone No. :(772) 878-5513
Fill in- fee simple Title Holder on next page ( if different
E-Mail:.•
from the Owner listed above)
State or County License' CGC03599 .
If value 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 m e :. Braden & Braden.
Name?
Addres5: 417coconutAve:
Address:
1City:. Stuart State: FL.
city: State:
Zip: 'sgsss 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:_
IJ
I certify that no work or installation has commenced -prior 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, l 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.Ameridments.
The following -building permit applications are exempt from undergoing a. full concuerency review: room additions, -
accessory structures, swimming pools; .fences, walls, signs, screen rooms and accessory uses to anothernon=residential use
�UVARNING TO: OWNER.: Your failure. to Record a Notice of Commencement may result in your:paying twice.for
improvements to your:pro-perty. A Noticed Commencement must be recorded and posted on the jobsite
before the first inspection. If.you intend to obtain financing, consult with lender or.'an attorney before
l,commencing work or recording your Notice of Commencement.
:..
-S
_Signature of Owner/ Lessee/Agent
License Hold
Si nature of Contractor. er .
g /
(STATE OF FLORIDA
'I
STATE OF FLORIDA-
COUNTY
COUNTY OF
OF
The forgoing _instrument was acknowledged before me
-this Leday of At ir-kST 20/ g by
The forgoing instrument was acknowledged before.me
g g g.
'this day of . A r"ru. ST , 20 / b by
/
LY�67 riyyN C
(Name of person acknowledging)
(Name of person. acknowledging)
(Signature of Notar ublic- State of Florida )
I: (Signature of Notar ublic- State of Florida)
✓OR
Personally Known V-11"OR Produced Identification
Personally Known Produced Identification
= Type of Identific t �ducerl��
Type of Identification Produced
DOROTHYANN BASRIN
Commission No, ' • % MY cOmmissi"WO, 145
G)t`ROTHYANN I
Commission N � ( I? .:
- Revised Q7/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
EXPIRES: October 2, 2020
ed T hru Notary Public Underwriters
aMY (Julvilvilooluili # GG 030145
e,XPIRES: October2, 2020
y NMI y
FRONT: ZONING SUPERVISOR .PLANS VEGETATION : SEATURTLE MANGROVE:
COUNTER. REVIEW REVIEW REVIEW REVIEW -REVIEW REVIEW-.