HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: (j Permit Number: U I
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Building Permit ApplicationPlanning and Development ServicesBuilding and Code Regulation Division
2300 Virginia Avenue,- Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building SCANNED
BY
PROPOSED IMPROVEMENT LOCATION: St I Iwip r cumt,
Address: 14456 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front34' Back: 22' Right Side: 15' Left Side: 13'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Itlona wor to e e orme under tIspermrt—check all appy:
✓ZHVAC Gas Tank Gas Piping _ Shutters Z Windows/Doors
Electric ❑✓_ Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,1088 S Ft. of First Floor: 2,108
Cost of Construction: $ , /I 0 9-y/. 00 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: WYYNE 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress: 417 coconur AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-e258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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.
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.
cam— r� s
_ Signature of Owner/ Lessee/Agent Signature ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF CT. " c r eF COUNTY OF grr- L,%4 C
The forgpping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'Bor'day of J A• N µ.a,Ry, 20 Eby this 3e;Iay of J7YN ±!!41 .20 1'/ by
M oTt}l&w Lq L-F YN ri/ C' r i ff}7%)-iew LY LE IJ�1 �/NN Lr
(Name of person acknowledging) (Name of^person acknowledging) 'Q
(Signature of Notary P is -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. M°a '•, OOROTF1��fjr� BASKIN Commission No. :: ': uunuinrn c AIN
$j�
OMMISSIO 0301
COMMIS GG 030145 •.:
EXPIRES:Octaber 2, 2020 +2 EXPIRES: October 2. 2020
Revised
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