HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- - - RECEIVED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JAN 2 8 2019
Permitting �Department)
sit6Wgiiie County, FL
PERMIT APPLICATION FOR: Building S
01.
PROPOSED IMPROVEMENT LOCATION: S /V
Address: 14120 DALIA 4 n
Legal Description: 6/7 34 39 all that
6111PO y
PropertyTax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front 32' Back: 22' Right Side: 16' Left Side: 16'
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
CONSTRUCTION INFORMATION:
Haanionai worK co oe errormea
z✓ HVAC
Z✓ Electric ❑✓_
Gas Tank
Plumbing
unaer ims
❑Gas
❑Sprinklers
permit— cnecK all apply:
Piping _ Shutters
1.1 Generator
Z
Z
Windows/Doors L
Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction:$ 58,00 a�/oo Utilities:[]Sewer DSeptic Building Height:
a,�
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 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
.Name:. aRADENaBRADEN Name:
Address: 417 COCONUT Avr. Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)237-8253 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
COMPANY: _Not Applicable
Name:
Address:
City:
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 apermit 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 accessoryuses 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 1
COUNTY OF �sr c F
The forgoing instrument was acknowledged before me
this jt day of ::G9 "u A 914 , 20 Eby
Signature
STATE OF FLORIDA
COUNTY OF S—
The forgoing instrument was acknowledged before me
this Z`rday of J A u u A-�, 20 ,1 9_ by
A Fw L yL 45 l)J v,-Jru F 1j,9,4 wE-w LYG c
(Name of person acknowledging) (Nameof person acknowledging)
(Signature of Nota ublic-State of Florida ) (Signature of Nota blic- State of Florida )
Personally Known _
Type of Identification
Commission No.
Revised
J_ OR Produced Identification Personally Known ✓ OR Produced Identification
Produced Type of Identification Produced
DOROTTjEY BASKIN Commission No.
'COMMI SI #GG 030145
EXPIRES: October 2, 2020
030145
2020
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