HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r/
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Building Permit Application REcEmen
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Virginia Avenue, Fort Pierce FL 34982 St1L�ne DBP
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Res 4Prx
MIT APPLICATION FOR: Building
POSED IMPROVEMENT LOCATION: SCANNED.
ss: 5 REFORMA 1
St LUUlt:; w--n
Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Tax ID #: 3414-501-1701-000/9
Name: SPANISH .IJCKES ONE
Name: r/ , /
<s Front 24' Back: 27' Right Side: 15'
Left Side: 15'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: J
NO
HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM / 2 BATH /
TO BE BUILT OFF REAR OF HOME
CONSTRUCTION IN
I!U1 HVAC L=1Gas Tank L_JGa:
Electric ❑✓_ Plumbing ❑Spi
Total Sq. Ft of Construction: 2,275 6l
Cost of Construction: S
1 �4 � s
Piping Shutters Windows/Doors
nklers 11 Generator Z Roof
_ S Ft. of First Floor: 2,275
Utilities:�SewerFSeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp..
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
City: port_St Lucie State: FL
34952 772 878-7656
Zip Code: Fax: ( )
Phone No. (772) 878-5513
Address: 8000 South US Hwy. 1 Suite 402
Port St. Lucie
City: 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: 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
Name: Braden&Braden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 Coconut Ave.
Address:
city:I Stuart State: FL.
Zip: 34996 Phone: (772)287-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 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 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
commencing work or recording vour Notice of Commencement.
S
_ Signature of Owner/ Lessee/Agent Signature of Con ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF "In— COUNTY OF Sr . /C.ticrt
The forgoing instrument was acknow97Bledged before me The forgo,ing� instrument was acknowledged before me
thisQ?Tayof Kilo rn , 2011by thisayof 20 LLby
vV1 � rtNew L v cc= Gv v �N � yh�-�a—w Lyc� L� yam. n��
(Name of person acknowledging) 2 (Name of person acknowledging)
L,O." a 1�-� a'O",
(Signature of Nota ubli�c-State of Florida) (Signature of Notary lic- State of Florida )
Persohally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced - __ Type of Identification ffTPNANNMAb
u ..c9"7GU,_ nna MIN Iff
^fj ?qr,'%.,4 DORuinT nrvn or ann` F MY COMf�N# 2.202045
Commission No. :�� G0MMIs"JT Hit)GG030145 Commission No. +.
. EXPIRES: October 2,2020 EXPIR cober 2, 2020
V Bonded Thru Notary Puck underwriters
Revised
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE;
COMPLETE
INITIALS