HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V\cc'O��
Koalasl..
RECEIVED
Building Permit Application j :. JUN 10 7019
Planning and Development Services �T, LUCIe'Count
Building and Code. Regulation Division - - .. Y, Permltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
. Address: 82 JItKKH UtL NUK It
Legal Description: EAST 1/2 OF SECTION 1 TOWNSHIP-34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 31' Back: Right Side: 12'6" Left Side: 156" .
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
_ ram,,,,,.
HVAC. Gas Tank ` . Gas Piping Shutters tr Windows" Doors
. .
Z✓ Electric - ❑✓_ Plumbing []Sprinklers Generator .. Roof
Total Sq. Ft of Construction: 2,108 So. Ft. of First Floor: 2,108`
Cost of Construction:$ 58,000 Utilities: Sewer Septic Building, Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNEBUILDING DEPARTMENT
Name:'MATTHEW LYLE WYNNE-
Address: 8000 SOUTH US.HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City:- PORT ST. LUCIE 'State: FIL
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) 8781-7656
Phone No..(772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Oiivner listed above)
E-Mail:
State or County License: 08898
If value of_construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
Address: 417 COCONUTAVE.
City:, STUART State: FL
Zip: 34996 Phone: (772)2e7-e258
FEES ' IMPLE TITLEHOLDER:. Not Applicable
Nam:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:.
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit. ..
no
:e.the permit holderto the subject structure
or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit; I do hereby agree that 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 mncurrency 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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me ".
this 30dayof bL 20 aby
(Name or person
,acnKnowleogmg )
(Signature of Nota blic-State of Florida )
Personally Known V" OR Produced Identification
Type of Identification Produced
CommissionN=?'�;afr•;. DOROTHYANN BASKIN
notes
EXPIRES: OctoberZ 2020
Revised 07
S
Signature of Contractor/license Holder
STATE OF FLORIDA
COUNTY OF
The, forgoing instrument was acknowledged before me
-this 30 day of ✓:1 &:!J 20 i' 9 by
m i6miE Ai �- Yce WyNtJC-
(Name. of person acknowledging)
(Signature of Not
o Public- State of Florida)
-Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
October 2, 2020
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