HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: ! � o
BY
St. Lucie County
q �
o
Building. Permit Application ,;��� .�, 1
Planning and Development Services
Building and Code Regulation Division _ C,qd/y
2300 Virginia Avenue, Fort Pierce FL 34982 �C"
Phone: (772) 462-1553' Fax: (772) 462-1578' Commercial Residerlt*_K
PERMIT APPLICATION FOR: Building
PROPOSEDIMPROVEMENT LOCATIONS
Address: 30 SAN ROBERTO
Legal Description:. EAST 1/2 OF SECTION 1 - TOWNSHIP34S -RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks" ,Front 34'6" Back: 38' Right Side: 20'6" Left Side:
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home)- 2 BEDROOM - 2 BATH- GARAGE
NO SLAB WILL BE BUILT OFF. REAR OF HOME
INFORMATION:
Lt IHVAC I J Gas Tank UGas
❑✓ Electric ✓❑_Plumbing ❑Spr
Total Sq: Ft of Construction: 2,108
Cost of Construction: $ 58,000
Piping _Shutters ❑✓ Windows/Doors
nklers ❑ Generator Roof
_ S Ft. of First Floor: 2,108
Utilities Sewer []Septic 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 State: FIL
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 fisted above)
E-Mail: Sher �bG 0—um
-le
State or County Lice: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENBBRADEN
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 417 COCONUT AVE.
Address: '
City: STUART State: FL
Zip: 34996 Phone: (n2)287-8258
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 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 recording vour Notice of Commencement.
—� S
_ Signature of Owner/ Lesseee/AgenSignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this .Ldayof OCTb6e7i 200 by this-e-N dayof OG7D-56M .20 Eby
M f4tti4e-W (vie rN Yr0 ,'VE AW q77 flew tqc6 f uvNlvr
(Name of person acknowledging) - (Name of person acknowledging)
A40'1� 130.0L- 1��, 4"
(Signature of Nota ublic-State of Florida ) (Signature of Nota blic- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
GG 030145
Revised
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 030145
EXPIRES-r2 2029
5onded Thru Notary Public Underwriter
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
I1� II
INITIALS