HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —4�lrw Permit Number: � o5�a
r
RECEIVED
Building Permit Application NOV 2 9 2016
Planning and Development Services Permitting Dapertment
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building SCANNED
PROPOSED IMPROVEMENT LOCATION: bY
Address: 3 CORDILLERA St Lucie Cum it y
Legal Description: EAST 112 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front34' Back: 74'
I
Right Side: 13' Left Side: 13'
Lot. No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Aamuonai worx Lo oe errormea unuer cnis perms— CneCK au apply:
ZHVAC Gas Tank �GasPiping _Shutters QWindows/Doors
Z✓ Electric D Plumbing []Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: 2,108� / S Ft. of First Floor: 2.108
Cost of Construction: $ o /7 s�� -DD Utilities.. Building Height:
PRO
OWNER/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: FIL
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
it value of construction is 52500 or more, a RECORDED Notice at Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
10=01ulutrtJe1vuuvei n: _ Ivot Nppllcaole
Name:.BRADEN & BRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-e258
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 Count 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
s
_ Signature of Owner/ Lessee/Agent Signature of Co ac or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-r. (u Ga r COUNTY OF S; f Al cid
The forgoil instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a7 day of il..L� u_-W ed i. 201�by this a'7 day of 1VOLIC-r) 40v- . 20 1 J' by
II/%7A-rr�bPt,J Ls/LF (iU`>N�c' %ylA-TINE7.aJ C-YLG' IiUYNNC
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public -State of Florida )
Personally Known ✓ OR Produced Identification
Type of IdentificqUino grnA va -
DOROTHYANN BASKIN
Commission
Bomm R.W
Revised 07/15/2014
2020
(Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
EXPIRES: October2, 2020
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