HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE_ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C'
Date: Permit Number: 79
Building Permit Application SCANNED
Planning and Development Services }
Building and Code Regulation Division I-U�ie COU11tY'
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1 LAS CASITAS
Legal Description: EAST 1/2.OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No,
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
77 Cc
290 SQ. FT. OF DECKING TO BE REPLACED
CONSTRUCTION INFORMATION:
Muwuvuai WUTA w ua anuuueu uuuei gnu penlm—uiet.n au apply: -
❑HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric OPlumbing []Sprinklers Generator 2 Roof
Total Sq. Ft of Construction: 290 S Ft. of First Floor: 290
Cost of Construction:$ 1,900.00 -Utilities:nSewer D 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: 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name- BRADENBBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 349e6 Phone: (772)287-8258
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 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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 i . i.-.mc rr COUNTY OF Si " crc
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ((o day of 44.6-ws -r . 20 1 `7 by this 16 day of 14W 6tt ST . 20 /? by
(Na�me of person acknowledging) /� (Name of person acknowledging)
/
(Signature of Notty Public -State of Florida) (Signature of No&y Public -State of Florida )
Personally Known _� OR Produced Identification Personally Known OR Produced Identification
Type of Identificat �t Type of Identifi -
"`:¢,
=�'• MY COMMIS ON'�'( GG 030146 . e�:rti''• DOROTHYANN BASKIN
Commission No. - i•_ Commission N ''• - x.MYCO M11ISBICN ii0145
.�; XPIRES: �IWAr2, 2020 ;
Bonded Thm NIS, Public Unde,wnters '2rn EXPIRES: October2, 2020
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
R VIE
REVIEW
REVIEW
REVIEW
DATE
G
o
COMPLETE
$Q
INITIALS
0
ti
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED permit Number: 1'
BY
rt = St: Lucie County
- Building Permit Application RECEIVED,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 JUL 2.7 2017
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof �uu a ounry, r�
Address: 6200 NUEVO LAGOS
Legal Description: EAST 1/2 OF SECTION.1 - TOWNSHIP 34S - RANGE 39E
PropertyTax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side:
290 SQ. FT. OF DECKING TO BE REPLACED
0418OF
Left Sider
7/
CC—
Lot No.
Block No.
I'CONSTRUCTION INFORMATION:
Additions .workto�—Performedunder this permit— check all that aoo V: -
❑HVAC UGas Tank ❑Gas Piping
❑Electric ❑Plumbing ❑Sprinklers
Shutters ❑ Windows/Doors
Generator Z Roof
Total Sq. Ft of Construction: 290 S Ft. of First Floor: 290
Cost of Construction: $ 1,900.00 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: 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
n value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRAOENaBMIDEN
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-8256
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ 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, 1 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 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ ST-,,{ xc tr COUNTY OF S2T "C 7 c
The forggp'tng of �U instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1%day cY 20 1�by this day of J L y 20 1 7 by
y1-iMFw Lyt c /�j yN NC> IntI77)ye-W L yCE 6u ` "✓u c
(Name of person acknowledging) (Name of person, acknowledging)
(Signature of Nota ublic-State of Florida )
Known tlOR Produced Identification
Type of
Commission
Revised 07/15/2014
(Signature of Not6ky Public- State of Florida
�)
Personally Known OR Produced Identification
Type of Identification Produced
' BKIN
COMMIW64 GG 030145
Commission No.
EXPIRES: October 2, 2020
(COMMI GG 030145
EXPIRES: October 2; 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
Q
COMPLETE
INITIALS