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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: % rni• Permit Number: =2 e72,) D�
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IED
Building Permit Applicatio i FEB 12 2020
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 COUnty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res�c�ek6-
IE
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 4 HIDALGO
Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e
Property Tax ID #; 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20'6" Back: 24' Right Side: 14' Left Side: 15'
I DETAILED DESCRIPTION OF WORK: III
REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 3 BEDROOM / 2 BATHS / 1 1/2 GARAGES
NO SLAB TO BE BUILT OFF REAR OF HOME
I CONSTRUCTION INFORMATION: III
r{uaaionai worK co oe errurmeo unuer curs perms— cneCK an apply:
C✓HVAC Gas Tank ❑Gas Piping In _Shutters QWindows/Doors L
Z✓ Electric ✓❑_ Plumbing ❑Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: 2,484 S Ft. of First Floor: 2,484
Cost of Construction: $ $58,000 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address: 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
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: Part St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail: cheri@wynnebc.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: che(@wynnebc.com
State or County License: CGCO3599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 6 �5 `11 e
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: BradenBBraden
Name:
Address: an ComnutAve.
Address:
City: Steen State: FL.
City: State:
Zip: 34996 Phone: (772)287-825e
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 Court makes no representation that is granting a permit will authorize the�ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 our Notice of Commencement.
�G— s
_ Signature of Owner/ Lessee/Agent
Signature of Contractef/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instru ht was acknowledged before me
this 30 day of , 20 22by
The forgoing instru nt was acknowledged before me
this �o day of 20 a 0 by
MATTHEW LYLEAVYNNE
MATTHEW LYLE WYNNE
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Nota Public -State of Florida)
(Signature of Notaryu lic- State of Florida )
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced -
Type of Identification Produced
Commission No. (Seal).
Commission No
•,•;• ;�"'• 00ROTHY ANN BASKIN
;,L DOROTHY ANN BASKIN
Revised 07/
MY = EXPIRES: October2, 2)20
;al EXPIRES: Oclober2,2020 '-%ffi;F BohtledThmNOeryPuhlicUndervnters
��, �pt.�(3• 9onded Thm Notary Pablic Undenmters
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