HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 44'A
Date: —1 �Y� Permit Number: / Oyl� ����
..� SCANNED
BY
Building Permit Application St
County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 11 LAGOS DEL NORTE
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Fr
26' Back: Right Side: 18' Left Side: 17.
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: I
Ir IHVAC LJ Gas Tank
Z✓ Electric 0 Plumbing
Total Sq..Ft of Construction: 2,275
Cost of Construction: $ 0i -706. 9-6
Piping ❑_Shutters QWindows/Doors
nklers 11 Generator Roof
S Ft. of First Floor: 2,275
Utilities:Sewer ESeptic
Building Height:
0 W N ER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 - SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: 08898
If value ofconstruction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-325e
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, I do hereby agree that I 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 structure's, 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
—Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S-r, "cir COUNTY OF CT- "crr
The forgo��t.��9 instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �79sy of "OVe- 7,dM , 20 L&by I this _;k 7 f ay of A-IbV0" 6e'Y4, 20 18 by
CYc.G %`1,,v^ E tnA-7rwe2d i!� ycer I J yl• j •+i
(Name of person acknowledging) (Name of person. acknowledging)
�iJ�t�oty-Qa a"" /3" V�_C" `F 1 J / 0_�
(Signature of Not ublic-State of Florida) (Signature of Notaryb/lic- State of Florida )
Personally Known �OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .•;:?i^:;"'•., DOROTHOkN BASKIN Commissi m„ DOROTHYANNBAS Beal
COMMIS 6R GG030145 "•'��,• )
2020 J.; MY C MMISSION p GG 030145
ExPIRES:October2�; EXPIRES:October 2.2020
Revised 07/1
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