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Date: Permit Number: W
Building Permit Application
Planning nnfl Pevelopment *Wrgs
Sall(W and CP#P fteeulorlan Pivislon
z300 Virginia Avenue, Fort Plerre FI 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPOCATION FOR: Bulldin(3 II
PROPOSEp IMPROVEMENT LOCATION:
Address: 33 FLORES DEL NORTE
Legal Description: EAST 112 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111.0001.000.5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 26 Back: 14' Right Side: 18' Left Side: 18'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: II
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATHS - GARAGE
.NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: III
Z✓ HVAC U Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2,275
Cost of Construction: $ 58,000
Gas Piping U Shutters Q Windows/Doors
Sprinklers 0 Generator Z Roof
S Ft. of First Floor: 2.275
Utilities:Sewer[]Septic Building He
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 $2S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN aawFN
MORTGAGE COMPANY; _ Not Applicable
Name:
Address: 417 COCONOTAVE.
Address:
City: STUART State: FL
Zip: 34996 Phone: o72I287-825e
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 Count makes no representation that is granting a permit will authorize the ermifholder to build the subject structure
which is in co Act 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 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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST {.,ti.cc e' COUNTY OF T - "cr'
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this o Oday of PR fL 20 Eby this LOday of AGP /L 20 by
! •4,rn&-w L y%E Iluy,,j r Mr9-77NEW LYC.& iiV 1/ruNF
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Nota blic-State of Florida ) (Signature of Notaq P blic- State of Florida )
Personally Known.y • OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/
MY COMMISSION # GG 030145
UrNerwers
Personally Known k,"� OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 030145
er ,
BptOed ThN NmaN DnniM I1Mnwrlicn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
-SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS