HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I n _Kn- 19 �t)u SCANNED Permit Number: V ��
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services OCT 3 0 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 liE.
Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 9 JASMINE
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front21' Back:21'10"
Right Side: 12'4" Left Side: 12'4"
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH / GARAGE
NO SLAB TO BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
Z✓ HVAC Li Gas Tank
Z✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ $58,000
JCS II III- UIUI&UIS tlFlFlly:
aas Piping _Shptters Windows/Doors
Sprinklers 11 Generator Roof
S Ft. of First Floor: 2,124
Utilities:Sewer ElSeptic Building Height: _
OW N ERAESSE E:
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: ched@wynnebc.com
Fill in fee simple Title Holder on next page ('if different
from the Owner listed above)
E-Mail: ched@wynnebc.com
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
J
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Bradeo8araden Name:
Address: 417 CownutAve. Address:
City: Stuart State: FL. City: State:
Zip: 34996 Phone: (772)287-825e Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: 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
commencing work or recordine vour Notice of Commenrement-
-- s
—Signature of Owner/ Lessee/Agent Signature of Contractor/License FTolder
STATE OF FLORIDA
COUNTY OF sr LUCIE
The forgoing instrument was acknowledged before me
this _aL day of 20 l `!_by
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this L�dayof DCTOde)t .20 19 by
MATTHEW LYLEiVYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Nameof person. acknowledging)
(Signature of NotcQJ Public -State of Florida ) (Signature of Not ry Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced I Type of Identification Produced -
Commission No. - 0oRullg�rona030 I1 Commission No. "e:'�':..e COMMISSION
OMMIS ION# G030
MY COMMISSSION#GG 030145 E E My COMMISSION#GG 030145
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