HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1/�
Date: % gyp. % i� Permit Number: / ` �
- - RECEIVC
Building Permit Application
Planning and Development Services JAN 2 S 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Pe rm't n g D e p a rtm e
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re idQ!1tlal,x
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: 4S
Address: 36 CALLE DE LAGOS lSf n�Ai
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E 7(9
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 32' Back: Right Side: �L Side: 13-6"
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
rtionaiWorKtol3enertormed un ert ispermit checkall apply.
�✓ HVAC Gas Tank ❑Gas Piping _Shutters Z Windows/Doors
Electric Z_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484
Cast of Construction: $ `ate 1.gg3. co Utilities:llSewer DSeptic Building Height:
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: 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: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: BRADEN&BRAOEN- - - - - - -
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: 34988 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: - ---- ---
_ Not Applicable
-
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
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 a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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, 1 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
s
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF rr- L�A G,e COUNTY OF S^r . "c f i
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this "71'"day of TH rvu arwH . 20 Eby this -%�ay of THNu.,4wtj 20 19 by
Jir�17 }lF2J LYLF A,L+ W14-17-H6-LO LYLE 1,U1//1iv
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notarf Piliblic-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 No.
Revised
202045 I{ Commission No. 1 _j, :�;:?''.• _ COMMISSION#GG030
-lUMY CCMMISSIGN x GG 030145
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