HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1�� a-o3 59
LRECEIVEDBuilding Permit Application
Planning and DevelopmentServices C 18 2018
Building and Code Regulation Division2300 Virginia Avenue, Fort Pierce FL 34982 ounty, Porn
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: t`1
Address: 27 MAYA yJ" 8 r0%
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 20'6" Back: 202" Right Side: 13'8" Left Side: 123"
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: I
Z✓HVAC
Li
E]GasPiping
UShutters
QWindows/Doors
❑✓ Electric
0 Plumbing
❑Sprinklers
11Generator
Z Roof
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ �56i Y73.t�
So. Ft. of First Floor: 2,124
Utilities: Sewer Septic
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
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 Coder 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: CGCO3599
It value of construction is sz5oo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BmdenBBraden
MORTGAGE COMPANY:
Name: _
_ Not Applicable
Add ress: 417 cownutnve.
Address:
City: Stuart State: FL.
Zip: 34eee Phone:y7212e7-825e
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
—Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Sr. "c.i COUNTYOF
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this Z day of C&'Mf3,cX 2018 by I this l�day of D F CF771f$b7r, 20 18 by
YnA+rilFw i Yc6 JiUY,v,vC- ✓Ylar&Fw L yf r GUyNN E
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Note Vublic- 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
Commission N Mi5SI0tjW030145 Commission N .�.��• "ra'*, DOROTHYANt�(B�i(H
EXPIRES: Ocldber2, 2020 ;✓: { MMISSION#GG 030145
.. dr E%PIRES: October 2, 2020
,,,,t,' ruMtary &,Underxdte,
Revised 07/15/2014
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