HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE (' iMPLETED FOR APPLICATION TO BE ACCEPv�.; 2 '%
Date:10 7,�' (� �nu�1p(i9 Permit Number:
L't:ypoe'r
Building Permit Application
Planning and Development Services SCANNED9
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Co ntmitting
Phone: (772) 462-1553. Fax: (772) 462-1578 Commercial f�es�
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION: III
Address: 37 ECUADOR WAY
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 Front21' Back: Right Side: 13' Left Side: 10'
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 GARAGE �—
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
HVAC ❑ Gas Tank ❑Gas Piping ❑ Shutters Q Windows/Doors
Electric Z Plumbing []Sprinklers ❑ Generator Z Roof
Total'Sq. Ft of Construction: 2,275 .�
Cost of Construction: $ 58,000J1�'jC;1--. X
S Ft. of First Floor: 2,275
Utilities: Sewer Septic 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.
SUPPLEMENTALCONSTRLfU�rrbN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
Address: 417 COCONUT AVE.
City: STUART State: R.
Zip: 34996 Phone: n72)2e7-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
Zip:
f9�TM
BONDING COMPANY:
Name' _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Nat Applicable
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 your Notice of Commencement.
,�— S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF S __k"Cle COUNTY OF ST- lmei€
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Q'10 day of n1"C-H 20 JZby this_gplay of MAP-C. H , 20 19 by
✓",qrr CW &Ycc (. VJYVe _M147TWeIJ LYc.er 7�N NC
(Name of person acknowledging) I (Name of person acknowledging)
(Signature of N t ry Public- State of Florida ) (Signature of Notih Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. ; ••• DON
,- MY COMOOON dNOGG GG0 030145
•°dr EXPIRES: October 2, 2020
Revised 07/15/2014
Personally Known I/ OR Produced Identification _
Type of Identification Produced
",'t:?y'e'j�, DOROTa BASKIN
Commission No. �' ° • MYCOMMI GG 030145
EXPIRES: October2, 2020
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