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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "_ .1 — Qoa-n Permit Number: Zrrp - b551
RECEIVED
Building Permit Application FEB 22.020
Planning and Development Services cerm!tting oepartment
Building and Code Regulation Division County
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: 20 AZUL
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 Front25' Back:
Right Side: 25' Left Side: 13'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
✓ HVAC
11
Gas Tank
Gas Piping
_
Shutters
Q
Windows/Doors
Z✓ Electric
0
Plumbing
❑Sprinklers
11
Generator
Z
Roof
Total Sq. Ft of Construction: 2,484
Cost of Construction: $ 58,000
S Ft. of First Floor: 2,494
Utilities:llSewerOSeptic 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: FIL
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: BRADENaBRAOEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: (772)287-e258
City: State:
Zip: Phone:,
FEE SIMPLE TITLEHOLDER: _ 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
commencine work or recording your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
S
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST,"r:c a- COUNTY OF lr I u ue
The for oing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of E 6Ru A 20 Eby this /9 day of "Peu 20 •c5 by
yll;;7 J rw LY4-F GtJY.�n�e VFW LyLF NYN.tXE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NocaftPublic- State of Florida ) (Signature of Not Public- State of Florida )
Personally Known V/OR Produced Identification Personally Known &"� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N 6; 0OR07 BASKIN
S a�rItt Commission No.:v't•.n+ y��{{
OTHY A(RPBASKIN^ , MY COMMI ION%GG 030145
MY COMMISSION It GG 030145 ;r EXPIRES. October 2,2020
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Revised 07/ •%2� ' '' — —
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