HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ) 1 1 ad \`� SCANNED Permit Number:
BY RECEIVED
,.,
St. Lucie County
Building Permit Application NOV 2 0 2019
Planning and Development Services sT. I.ucle County, Permitting
Building and Code Regulation Division -
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: 16 OCTAVIO
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
PropertyTaxlD #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 11'8" Back: 15' Right Side: 24' Left Side: 45'
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No. _
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: I
HVAC U Gas Tank ❑Gas Piping U Shutters Z Windows/Doors
Electric 0 Plumbing []Sprinklers 11 Generator . I1 Roof
Total Sq. Ft of Construction: 2,124
Cost of Construction: $ 58,000
S Ft. of First Floor: 2,124
Utilities:Sewer DSeptic
Building Height:
0 W N ER/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: 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
It value of construction is s2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: BRADENSBRAOEN
MORTGAGE COMPANY: — Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-825e
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 ermit holder build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 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 your Notice of Commencement.
—�-- s
_ Signature of Owner/ Lessee/Agent Signature ofContrac or ,tense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S; Lm cur COUNTY OF ST. km c t:r
The forgogin�g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11`�ay of f�M JET n9 r7L 20 I g by this J��ay of A/o y E)m br , 20 19 by
1n'4-r WrW e-Y -E k YN N F 1YJf4'Y7NEI J CY L6 I JYN nr F
(Name of person acknowledging) e • (Name of �person
acknowledging)
-cknnowledging)
(Signature of No a Public -State of Florida) (Signature of Notaryblic- State of Florida )
Personally Known cl�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission f:?• •�lr� OOROTHYANN
y_t AISSION#0 145
••�'r;.<'�.,, DOROTHYANNBASKIN EXPIRES: October 2, 2020
da " c
ginNor
. EXPIRES: October2,,2020 !,'•�+ifiLt�'
Revised 07/15 61 „, Bonded Thor Notary Public Undenmlers
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