HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- -. ...
ALL AP.PLICABLE"INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date4 Permit Number: �) t - (5U% 1
r
R _ _
SCANNED.
Building: Permit. -Application. Y
Planning and Development Services - :' - --.St. L_ UCIG COUnty.
Building and Code Regulation Division
2300IVirginia Avenue,'FortPierce FL 34982 .
'
Phone: (772) 462-1553 , Fax:. (772) 462-1578- _ . :00011171erdal. : Re8ide.ntlal X . .
PERMIT APPLICATION FOR: Building =
PROPOSED IMPROVEMENT. LOCATION:
'Address: 7 PERU.:
Legal, D;escriptio' EAST 1/2.OF SECTION. T - TOWNSHIP 84S - RANGE 39E .
Pro ert.:.. .. . .. ....
p y Tax ID # 130T_11:1'-0001-000_5 ... -Lo. t No.
I
Site Plan Name:COUNTRY CLUB VILLAGE Block No.
_ Project�Name:
.... .. .... .. .... .. . .. .. ..
Setbacks .:Front:28': Back:.16,.. Right Side:.15' .: Left Side:: 21
DETAILED DESCRIPTION OF WORK:
SINGLE. FAMILY:kE81DENCE.(replacement home) 2 BEDROOMS.-:2 BATH -GARAGE .
NO SLAB. WILL BE BUILT*OFF REAR OF HOME _ .::.. ...
.. .. .. .. .... .. . .... .. ...
CONSTRUCTION INFORMATION: ,
itiona -wor to be performed.. under t is'permit.- c ec ;a apply:
ZHVAC. Gas Tank : • OGas.Piping .. _ Shutters. zWindows/Doors _
✓ Electric �✓ Plumbing . Spnnkle.rs Generator ✓Roof_
�.
Total Sq.f Ft of Construction: 2�1 S . Ft: of:First Floor:. 2,:108
Cost of GonStruction $ �{.5�f!,.. Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MAT LE
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .
:i . .
L•YLE WYNNE
Address? 8000 SOUTH US.HWY. 1--SUITE 402
Company: WYNNE DEVELOPMENT:CORPORATION .
City:' PORT ST. LUCIE State: FL.
Address; .8000 SOUTH US HWY. 17 SUITE-402 -
34952 ; .. ' 772 878-7656 -
Zip Coder Fax• � )
PORT.ST. LUCIE _ FL
City: Stater
Phone.No: (772) 878-5513 :
Zip Code:'34952 Fax: (772)-878-7656
'E-Mail:
Phone:No.:(772) 878-551:3 '
;Fill in -fee simple Title Holder on. next .page (if:different'
E-Mail;..
from they Owneraisted above) _
State or County License: 08898 -� : • :
�.I
.... .. ..:. .. .... .. .... .. .. . .. .... .. .... .. .. .. .. .. . .. .-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not -Applicable'
MORTGAGE. COMPANY: _ Not Applicable--
Name-BRADEN&BRADEN----
Name:
: Address:41icocONUTAVE.
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
i.
Name:-.
Name:
Address:. =
Address:
City:
Cit.. ..
y:.. ; ..
Zip, Phone:
:'Zip::.I Phone:.
.I certifythat no Work or. installation has commenced prior to the issuance.of a permit.; ..:.. .. ; . .
' St: Lucie County make's no representation that is granting a;permit will "authoriie: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,Own.ers Association and reviewyoue deed for any restrictions which may apply,
In consideration.of the granting of this requested permit,; I do her agree that l will; in. all respects; perform the work
in -accordance with:the App.roved:plans; the Florida Building Codes and St: LucieCounty.Arnendments.-
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: OWN ER:. Your failure. to"Record a Notice of Commencement may result in your -paying twice for
-.improvements to your- property. A. Notice of Commence. ment must be recorded and posted, on the jobsite
: before the first inspection. lf.you intend to obtain finapcing, consult with I:ender or.an attorney before "
comm mcing work or recording : -our Notice of Commencement..:
Signature of Owner/ Lessee/Agent : :
Signature -of :Contr or/License Holder.
STATE;OF FLORIDA
STATE OF FLORIDA:,
COUNTY Of- : 5�- �I e F
:..:..
COUNTY OF 5�-; �C.t t e c:,6 :
The forgoing instrument was acknowledged before me ' .:
The forgoing instrument was acknowledged before me
-this a day of d c'To 8 .E 20 l �' by -
'this. day of t9Gn,-6 B E;L . 20 1 A by
(Name of person acknowledging)
(Name -of person. acknowledging)
(Signature of Nota ublic- State of Florida )
(Signature of Not ry ublic-State of Florida)
Personally Known- ✓ ' . OR Produced Identification
Personally Known .y OR Produced Identification
-.Type of Identification Produced
Type of Identificatio
DOROTHYANN BASKIN -
NN'i :Ugh.,'
Commission No.. OMMISBIi);G030145
-�?: P�4;..DOROTHYANKBASKIN
R•.%.'
Commission No. MY COMMIfI9AI�GG,030145
EXPIRES:october2,2020
n�••' to Public Underwriters.
oa EXPIRES;-October2,2020 ':
.,.
<t i• . Bonded Thro Notary, Public Underwriters
Reviseid 07/15/201,4.,,. ;
-REVIEWS
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FRONT:
ZONING
SUPERVISOR_
-PLANS .•VEGETATION
:"
SEA TURTLE -
MANGROVE:
i:..
COUNTER_:.
REVIEW
_' REVIEW:..
REVIEW.-" _.
REVIEW.
:. REVIEW.-.
.REVIEW -.:.--
DATE
COMPLETE
INITIALS., .