HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEu
Date: SCANNED Permit Number:
BY
Building Permit Application a��tviD
Planning and Development Services 2 g 1019
SEP:
Building
Vi Virginia Avenue, Fort Pierce FL 34982 PermvO 9 e co"^went
2300
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 24 MEDITERRANEAN NORTH
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-00019
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front3l' Back: 22' Right Side: 14'6" Left Side: 14'6"
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: _ I
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE -,'BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Ta
rtiona worktonenertormed under tispermit—check all apply:
❑✓— HVP Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,275 Sq. Ft. of First Floor: 2,275
Cost of Construction: $ $58,000 Utilities: Sewer L I 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: cheri@wynnebc.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: cheri@wyrinebc.com
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BradenaBraden
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 coconut Ave.
Address:
City: Stuart State: FL.
Zip: 34995 Phone: (772)2e7-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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-residentialuse
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.
_ Signature of Owner/
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instrument was acknowledged�efore me
this So day of 143AC�-t c ')— 201 by
�—�- s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 3D'day of 44440-u4 -r 20 11 by
MATTHEW LYLEMIYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not&ly Public- State of Florida ) (Signature of Notko Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised
Commission No.
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