HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_ L;
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G`\'k\ Permit Number: 1`�d6—GI69
RECEIVED
Building Permit Applicati n JUN 10 2019
Planning and Development Services
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 -S
PROPOSED IMPROVEMENT LOCATION:
Address: 37 CALLE DE LAGOS
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front30' Back: 22' Right Side: 14' Left Side: 22'
DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
i lona wor to e e orme under tispermit—checka apply: - -
Z✓HVAC []Gas Tank. OGasPiping_Shutters Windows/Doors
Z✓ Electric ❑✓_ Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,484
Cost of Construction:$ 58,000
S Ft. of First Floor: 2,484
Utilities:SewerElSeptic 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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
s
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN & BRADEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 4n COCONUT AVE.
Address:
City:, STUART State: FL
Zip: 34886 Phone: (772)2874258
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
BONDING COMPANY:
Name:
_Not Applicable
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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this gc,� day of m 1±1 20 Eby
S
Signature of Con ra or/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this lc day of M -4 `/ 20 L_ by
M14-oweIw LYLE WyNnrer /i7fi7TF/F%y LyCE %YN NE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notgly Public -State of Florida) (Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification Personally Known '� OR Produced Identification
Type of Identification Produce Type of Identification Produced
•,;�: V'4" DOROTHYANN BASKIN
Commission N = 'i. MISSI01030145 Commission No.
DORO7HY 1J i SKIN
5 €- EXPIRES: October 2,2020 QR ?, MY COMMISSION#GG 030145
Revised
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