HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q /n/
Date: SCANNED Permit Number: � f O � v �w l
BY
..:I S4. LUCIeCounty RECEIVED
Building Permit Application AUG 22.2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 10 KACHINA
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20'4" Back: 26'8" Right Side: 15'6" Left Side: 13'6"
DETAILED DESCRIPTION OF WORK: I
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / 1 GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
Z✓ HVAC O Gas Tank
Z✓ Electric ❑✓_Plumbing
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ $58,000
Piping
LJShutters
Windows/Doors
nklers
[]Generator
U
Roof
S Ft. of First Floor: 2,124
Utilities:CnSewerOSeptic 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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BradenBBraden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 4+7 CoconutMe.
Address:
City: Stuart State: FL.
Zip: 349e6 Phone: (772)287-e258
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.
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 STATE OF FLORIDA
COUNTY OF ST. " c le COUNTY OF
The forgoing instrument was acknowledged before me
this 14 day of : u nrE 20 19 by
acknowledging
The forgoor g instrument was acknowledged before me
this / 9 day of _'174 -rE 20 19 by
Mfg Ew Z yt_.�- GJY,VNr
(Name of person acknowledging)
QX 02� &'A'
(Signature of NotarO P blic- State of Florida) (Signature of Notarylic- State of Florida )
Personally Known OR Produced Identification
Type of Identificati
I -;.T. Fp�S DOROTHY ANN GG 030145
Commission No. '•' ASKIN
MY GOMMIsj@yl
:. cYa6iFS: Oclolier 212020
Revised 07/15/2014
Known OR Produced Identification
Type of
Commission No.
2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS