HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.' .
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /q
Date: 1 ,- \ V �� � ,�� Permit Number:
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RECEIVE—]
Building Permit Application
Planning and Development Services FED 11 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Luae County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLICATION FOR: Building Sn-
I PROPOSED IMPROVEMENT LOCATION: Sf , ,p;�N,c„
Address: 14423
FLORES
Legal Description: 617 34 39 all that part lying
of 1-95
PropertyTax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 28' Back: 17' Right Side: 14' Left Side: 13'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / 2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
HVAC ❑Gas Tank ❑Gas Piping ❑Shutters QWindows/Doors
Electric 0 Plumbing ❑Sprinklers ❑ Generator Z Roof
Total Sq. Ft of Construction: 2,324
Cost of Construction: $ `J . 6a3.�
S Ft. of First Floor: 2,324
UtilitiesSewer❑Septic Building. Height:_
OW N ERAESSEE:
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: CGCO3599
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: aRADENaeRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: ail COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (Tr2)287-e2e8
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 Count 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 an9covenants 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
commencine work or recordine vour Notice of Commencement.
��
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF i . c �e COUNTY OF Si , kuc cge
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3Oi'dayof J �4r uR ry . 20 19by this Sonday of 20 19 by
✓ Ar*wFw L ycG 'W yNric 1n,9-77-,-iE-w Lyc-!r A)Y j re
(Name of person acknowledging) /� (Name of person acknowledging)
Lo'tpt,I_ t (_n. llsaa� V.LGD-tay-�a (�Lw., Ach' -
(Signature of Not ubli�c-State of Florida ) (Signature of Nota blic-State of Florida )
Personally Known L OR Produced Identification Personally Known L,'� OR Produced Identification
Type of Identification Produced Type of Identification Produced
DORO
BASKIN
Commission No. �• M EXPIRES: sio er02.202045 II Commission No. �" r ,c M EXPI15
RIS AES: OctobeG2, 202045
Revised
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