HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIr
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 -
Date: �(�� �i Permit Number: ICT'3
SCANNED
` 1T BY
St. Lucie County R1r."'"L �
Building Permit Application . OCT 3 0 2019
Planning and Development Services
Building and Code Regulation Division .ST. Lucie County, Permitting.
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: 1-MONTOYA
Legal Description: EAST 1/2 OF SECTION 1:- TOWNSHIP 34S - RANGE 39E
Property Tax lD #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 28, Back: 24' Right Side: 19' Left Side: 25'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home)- 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
�GasTank ❑Gas Piping L-JShutters _Windows/Doors L—
ZHVP
�✓ Electric ❑✓_ Plumbing ❑Sprinklers Generator ✓� Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484 V
Cost of Construction: $ 58,000 Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE .BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
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 Stat- -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. -
1
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRAOENBBRACEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-825e
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 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
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor7i.icense Holder
STATE OF FLORIDA'I STATE OF FLORIDA
COUNTYOF STii+utccr COUNTYOF Sr Lucre -
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�rdayof Oc i 4641_ 20 .L%by this 2LSayof r�iC�l.�� .20 I`; by
�'ltA�n-r�z,y ILyc,6- 110\1,uPje Mt7rn4e-u) Lyc� M/NnJi;
(Name of person acknowledging) I (Name ofpersonacknowledging)
tr ]L1L1� `i'CNS a_w Y60160A:�
(Signature of Nota ublic-State of Florida ) (Signature of NotW Public- State of Florida )
Personally Known LZ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No.
Revised 07/1
OOROTHYANN BASKIN
EXPIRES: October2, 2020
Bonded Tbru Notary Public Under atere
Commission No.
# GG 030145
Bonded Th, Notary Public Underwrftm
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