HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONx
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i1 a.1 Permit Number:
Building Permit Application INOV 2 7 mB
Planning and Development Services ST
Building and Code Regulation Division - Lucie County, perry
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building II)
I PROPOSED IMPROVEMENT LOCATION: III
Address: 13966 GER4NIO
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front11' Back:29�
Right Side: 40 Left SidI �
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
Z✓ HVAC 0 Gas Tank Gas Piping 1i Shutters, ❑ Windows/Doors
ZElectric Z. Plumbing Sprinklers I: Generator Z Roof
Total Sq. Ft of Construction: 2,108 V S Ft. of First Floor: 2,108
Cost of Construction: $ �5 %� Utilities:Sewer D Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
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: CGC03599
it vame of construction is 525uo or more, a RECCIRDI:D Notice of commencement is required.
I
1
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBaRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 417 COCONUT AVE.
Address:
City: STUART State:
Zip: 34996 Phone:(772)2a7-8258
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 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
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S;-r I COUNTY OF .ST I uccr
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this / d? day of Noye-orsrif 20 !Eby I this a day of fundE7+rbER . 20 /k_ by
/VA-t7Ve1,J LYt-C INyvnrG MA-7! Cw &Ice GV'/ny/vc
(Name of person acknowledging) I (Name of person acknowledging)
t� .a.-, a., A 0_40' oV_-kt an r /V"
(Signature of Nota ublic- State of Florida) Signature of Nota ublic- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.�^^�w�4.. DOROTHY
2020
Revised 07
Personally Known OR Produced Identification
Type of Identificatiaa3roduced
Commission
EXPIRES: October 2, 2020
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