HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \I� l�_ �U SCANNED Permit Number: I r Q
St. Luce County RECEIVED
Building Permit Application F OCT 0 4 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772).462-1578
ST. Lucie County, Permitting
Commercial Residential X
PERMIT APPLICATION FOR: Building III
I PROPOSED IMPROVEMENT LOCATION: III
Address: 7 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 20'6" Back: Right Side: 14'6" Left Side: 12'6"
DETAILED DESCRIPTION OF WORK:
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
U1101 WIJIA LUU CI IUI II ICUUI IUCI LIII� PC[ l l l 11—ld
HVAC Gas Tank F]GasPiping
Electric D Plumbing ,oSprinklers
LlShutters ZWindows/Doors
I: Generator 2 Roof
Total Sq. Ft of Construction: 2,124 V ScFt. of First Floor: 2,124
Cost of Construction: $ $58,000 Utilities:Sewer F_1 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) 878-1656
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@wynnebc.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: BradenBBraden
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417CownutAve.
Address:
City: Stuart State: FL. -
Zip: 34996 Phone: f7721287-8258
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ 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 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
1
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF Si LUCIE
The forgoing instrument was acknowledged before me
this LTday of (CTVj3 eX 20 19 by
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this /`srday of OG 0661ww- , 20 L by
MATTHEW LYLEiVYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
a, /y" 6Z� /3a _
(Signature of NoJ& Public -State of Florida ) (Signature of Nota ublic- State of Florida )
Personally Known x OR Produced Identification Personally Known X OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission No. D&WYANNBASKIN Commission No. tl. CORO qAMN BASKIN
`•1 ';; MY COMMISSION 9 GG 030145 MY COMMISSION#GG 030145
'•' 'a,, +: "•, Bontla ihr'Noss P
':`,j?`;;.o Bonded Thru Notary Publk Undewrriters.t;,••` ry Jblic Undem+iter
Revised 07/15/201
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