HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONlam• - � � ,
ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, L' �� ,,(`/ Permit Number: O
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
FED 12 LUIJ
ST. Lucie County, Permitting
Residential X
PERMIT APPLICATION FOR: Building SCAN IFO
PROPOSED IMPROVEMENT LOCATION: BY 11
Address: 5 CORTEZ
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 22' Back: 21' Right Side: 15' LeftSide: 15'
DETAILED DESCRIPTION OF WORK: "
Lot No.
Block No.
unty
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTIOW NFORIVIATION: III
Z✓ HVAC I I ❑ Gas Tank ❑Gas Piping
❑✓ Electric Z Plumbing, ❑Sprint
Total Sq. Ft of _Construction: 2,124
Cost of Construction: $ J zT `/. 73. 71
a
Shutters Windows/Doors
Generator Roof
S Ft. of First Floor: 2,124
Utilities: Ft
❑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 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name' e,edenaBradee
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 4t> camnatAve.
Address:
City: Stuart State: FL.
Zip: 34996 Phone: (772)2e7-8258
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 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.
Inconsideration 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
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S'r �"C t F COUNTY OF S-r,
The forgoi g instrument was acknowledged before me
this � ay of :1 r4 N �•t.1°rK'`9 , 20 11by
(Name of person acknowledging) I
r
(Signature of Notarylic-State of Florida )
Personally Known ✓ OR Produced Identification _
Type of Identification Produced
F.7.7.. OOROT}r!YANN BASKIN
Commission No.'•' YCOMMI3�dA#GG 030145
... _ EXPIRES: October 2,2020
Revised 07/
The forgoing instrument was acknowledged before me
this 3o day of � Wuu AI+f 20 t by
i'YI �} ilH�W LYL'E J�O YNIv E
(Name of person acknowledging)
u`Qo r o L,,", iga4' L=
(Signature of Nota(yPublic- State of Florida )
NMI
Personally Known
roduced Identification
Type of Identificatioa
Prod
ced
4i?h°Yqi'••,
Commission N ' as
DOROTHYANN/ SKKI{{�
MISSION r�M145
{<'€
EXPIRES: October 2, 2020
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