HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Datie: , I' ��' Ig `!OC Permit Number: iQ
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RECEIVED
Building Permit Application NOV 2 7 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Ph6ne:(772)462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION: �V I
AddrI ess: 10 CORDILLERA St I nriP county
Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Flan Name: COUNTRY CLUB VILLAGE
Project Name: , n
IJ J
Setbacks From' Back: Right Side: 14 Left Side: 20'
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - GARAGE
NO,SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION:
It- JHVAC L.JGas Tank
ZElectric ✓❑_ Plumbing
Total Sq. Ft of Construction: 2,275 V
Cost f Construction: $ � 70%•a-S
Piping UShutters Windows/Doors
nklers Generator Z Roof
S Ft. of First Floor: 2,275
Utilities:cnSewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City:I 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
ir value or construction is >touu or more, a iacuitutu ivonce of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN&BRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 417 COCONUT AVE.
Address:
City:,STUART State: FL
Zip: 24996 Phone: (772)2e7-e268
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conAct 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.
�—v - �r s
_ Signature of Owner essee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST• kycr E COUNTY OF , I kL4 C.a OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 161 day of A)1)Ve n.E 20 (X-by this M day of 4CV—' dCX . 20 18 by
i',fl`)wwIi 'W t 12*o7r tEw LyLE tuyNNE
(Name of person acknowledging) I (Name of person acknowledging)
LLQ0, 6,,,L
(Signature of Not Public- State of Florida ) /
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No ROTHYPFB OhMIN
.�.MY COMMISSION# GG 030145
Bonded Tnm Notary
Revised
(Signature of Notary lic- State of Florida )
Known OR Produced Identification
Type of
Commission No.
EXPIRES: October 2, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS