HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,�T
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �^
Dater Permit Number:[nd
NCO
RECEIVED
Building Permit Application I APR 2 3 2019
Planning and Development5ervices
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
Address: 1 PALO ALTO
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 Front29' Back: 47'
Right Side: 16' Left Side: 20'
St. Lucie
Lot No.
Block No.
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
Huwuo1Id1 warK ro ae errormea unaermis permit— cneCK an appiy:
ZHVAC Gas Tank []GasPiping _Shutters ZWindows/Doors
❑✓_ Electric 0 Plumbing Sprinklers ElGenerator Z Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction: $ $58,000 Utilities:n Sewer 0 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
IT vame or construction is yzsuu or more, a Ri:coeoED Notice or commencement is required.
SUPPLE-ME-NTALCONSTRUC iION ILIIEN I MWJ INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Braden&Braden
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 417 Coconut Ave.
Address:
City: Stuart State: FL
Zip: 34996 Phone: P721287-8258
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.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF '�—r-"ctc COUNTY OF r-I��tcrr
The forgoing instrument was acknowledged before me The forgot.0 instrument was acknowledged before me
this / 7'Nday of ii'/R r z_ . 20 11 by this �i day of �%fR t c . 20 L by
L I(r biy"m6 yr)A7f_N6_J L 5icc-' GVYNrVE
(Name of person acknowledging) FF (Name of person acknowledging)
� P �� 1 �
(Signature of NoUV Public -State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known V_�`OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Q1•, DOROTt(Y,6N'N BASKIN Commission No. p;):;' �. DORgS&A)NBASKIN
'", �a, ' ` MYCOMMISSION GG 030145 1tJ + : MYCOAIMISSION#GG030145
t"",rH;+ F EXPIRES: October 2, 2020 IVA'A"W EXPIRES: October 2. 2020
Revised 07
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