HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO. MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - ! J �' �T �b Permit Number:
RECEIVED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
1
PERMIT APPLICATION FOR: Building &I
PROPOSED IMPROVEMENT LOCATION:
Address: 14 TOSCA
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax I D #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks 'Front 34' Back: Right Side: 18' Left Side: 15'
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - 1 GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—checka apply:
1 HVAC 0GasTank ❑Gas Piping In _Shutters Windows/Doors
Z✓ Electric ❑✓_ Plumbing []Sprinklers 11 Generator Z Roof
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ -5 Cb
S Ft. of First Floor: 2,108
Utilities:]Sewer Septic
Building Height:
OW N ERAESSE E:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8006 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:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)267-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name,
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 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, 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
S
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I COUNTY OF 9T-- kU Gr r
The forgosing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this 3T'day of t,L4 20 19by this3d�dayof :AIYLAA-J ,20 /`i by
Pll i4 tW' eW L YL C ('U YA/NE 01 1 J47r746-W L YcE 64) YN 2v e`
(Name of person acknowledging) (Name of person acknowledging)
o.� a 1�� a,-X , .dam
(Signature of Nota ublic-State of Florida) I (Signature of Notary blic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
GG 030145
r 2, 2020
Revised 07/
Personally Known OR Produced Identification
Type of Identification Produced .
Commission No.
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