HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr_
ALL APPLICABLE INFO MUST BE CC- -r° .ETED FOR APPLICATION TO BE ACCEPT__ `
Date:
Permit Number: 1 i 0q " F1 I&1
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Building Permit Application pQRo ins
Planning and Development Services eaa`tment
Building and Code Regulation Division erm'�P 1deCOMM
2300 Virginia Avenue, Fort Pierce FL 34982 p `'t' W
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building SCANNED
PROPOSED IMPROVEMENT LOCATION: BY
en70 Al DReoninDn L. Lucie
NUUf CDD:
Legal Description: 617 34 39 all that part lying northeasterly of I-95
Property Tax I D #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 29' Back: Right Side: 19' Left Side: 15'
DETAILED DESCRIPTION OF WORK: II
SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM / 2 BATH / 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
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HVAC
Electric
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Gas Tank
Plumbing
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❑Gas
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Piping _Shutters
dpply:
Windows/Doors
Generator Z Roof
[]Sprinklers
Total Sq. Ft of Construction: 2,484
Cost of Construction: $ A'56.Ci y3. Oa
S Ft. of First Floor: 2,484
Utilities:ll Sewer D 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: 34962 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 CONSTRU&TO&
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: BRADEN B BRADEN
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: e4996 Phone: V72)287-e25e
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 obtainfinancing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF � I , "c t E7 COUNTY OF S'r,6,8A c, r
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _O�Myof kKAveC H 20 J2by this .24'coyof )-AA-KcH 20 Lby
yYlfl7mel.i CYu iNy"en ,47rwrw Lyc.4r GVyr+NE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic- State of Florida) (Signature of Nota blic- State of Florida )
Personally Known t/ OR Produced Identification Personally Known
Type of Identification Produced Type of Identifica.1
Commission No. DOROTHY
Revised 07
202 45 IF Commission No.
OR Produced Identification
Bonded Thou
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