HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:'�d' 110 G Permit Number:�tll
AIR SCANNED _D
BY PHEICCEP V Tz
Buildinj"WRiMplication MAR 18 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building III
PROPOSED IMPROVEMENT LOCATION:
Address: 7 VILLAS DEL NORTE
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
PropertyTaxlD #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 31' Back: 45' Right Side: 16' Left Side: 16'
Lot NoJ
Block No.
DETAILED DESCRIPTION OF WORK: I III
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH- GARAGE
CONSTRUCTION INFORMATION:
na worKtoDenertormed under tispermit—check all apply:
ZHVAC Gas Tank Gas Piping Shutters Z Windows/Doors
Z✓ Electric ❑✓_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S Ft. of First Floor: 2,108
Cost of Construction: $ 58,000 Utilities:12 Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT COF:PORATION
City: PORT ST. LUCIE State: FL
Zip Coder 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: BRAZEN&BRAZEN Name• _
Ad d ress: 4n COCONUT Ave. Address:
.City: STUART State: FL - City: State:
Zip: 3499e - Phone: (772)287-11258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone: ,
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 1 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, wall signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to R ord a Notice of Commencement may result in your paying twice for -
improvements to your property. A No 'ce of Commencement must be recorded and posted on the jobsite
before the first inspection. If you int d to obtain financing, consult with lenpr or an attorney before .
commencing work or recordita�7vo Notice of Commencement. /.
STATE OF FLORIDA /I STATE OF FLORIDA
COUNTY OF S% I t�cie COUNTY OF Sr _t cce
The for -jng instrument was acknowledged before me The forgoipg instrument was acknowledged before me
this Ldayof M"co4 20 /:Zk d"by thisayof 20 LC_ by
AA,Y-we-w cY« rNym v - � ,� c yu Lu /NNL
(Name of person acknowledging) (Name of person acknowledging)
C"X".1 (2� Q
(Signature of Not Public -State of Florida) (Signature of Noigh
. Public State of Florida )
Personally Known _ OR Produced Identification Personally Known v OR Produced Identification
Type of Identification 7l fRitll e) — — _ Type of Identificati , n` F ��
��n 'wyi wnuinr enn nNSRIN ���>^ Z' e, uunulNy ANN BASKIN
4� Notary+jc •State of Florida Commission No. ' �.' ," Notary PubyeSt�fe of Flo
Commission No. iron E y Comm. a Z
"AMyCo m. aplres002,:, .,F pires..oef2,
Com_mi113lon # FF 015228 y --%;eon F.o r'' Commission # FF 6132
91
"" roue io3uNohryAasn. , -�001luall 10roughationalNatary:/
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE.
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
DATE'
COMPLETE
INITIALS