HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Plaprung and Development5ervices �IOtI 2 7 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. LUCle County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 13958 GORRION RV
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95 St Lucie County
PropertyTax ID 0: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front24' Back:
Right Side: 18' Left Side: 74'
Lot No.
Block No.
IDETAILED 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
I JHVAC L_JGas Tank UGas
Z✓ Electric 0 Plumbing ❑Spr
Total Sq. Ft of Construction: 2,275
Cost of Construction: $
III.—UICUR au aNNiy.
Piping Shutters ❑ Windows/Doors
ers Generator � Roof
S Ft. of First Floor: 2,275
Utilities:llSewer OSeptic 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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: BRADENSBRAOEN Name:
Add resS: 417 COCONUT AVE. Address:
City; STUART State: FL City: State:
Zip:134sae Phone: (772)287-825e Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Address:
Zip: Phone: I 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 thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF �.kueeE COUNTY OF Si,f-tce[
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _jl day of N O VEYA,6 20 aby this —5 day of NJ t/EYYt20 /,i by
)%`A-"ioeW C y c'< Gu y!u ry v M A7ni6w L vC4- J V 5/,JN e
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida ) (Signature of Nota ublic- State of Florida )
Personally Known _&/'� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced _ __ Type of Identification Produced
11 +. 0010T� A (DOROTHYANN SAS I
Commission No. GN45 Commission N
YP AE2,2020. EXPIRES: October 020
Revised 07/1
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