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Building Permit Application
Ath APPUGARV INF9 MOT RE E9MPI €T€P F99 APP€IEATI9IN T9 RE A€6€13T€B Date: Permit Number r'&iIs- Oze RECEIVED Building H@rmit Appliotien MAY 0 6 2020 POnning gn# Pewlepwnt §PridEP, Permitting Department ®P11fl100 gad Enflx fIPgP(PMion RIYI0917 St. Lucie county P99 VinginlnrAyenPFr FRO RIPrep 4 9199? Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: gililding .II PROPOSED 190ft'OVEMENT LOCATION: Address: €g €€ PAN)IN@ R€Al: Legal Description:€€9TI9I4?€/T@VVNRHIP@0/RAN9€4AP Property Tax ID #: 9414491-170 AAA/P Lot No. Site Plan Name: €PAN1911€AK€€ QN9 Block No. Project Name: Setbacks Front 91' Back: 49' Right Side: 99' Left Side: '14" DETAILED DESCRIPTION OF WORK: II H€PLAN€M€NT HC MF-, OINPW FAMILY 13€0IP€NGE � 2 OF-PROCIM / 2 HATH6 / QARAOE NQ FLAB T913E TILT PFF REAR PF HQMI= CONSTRUCTION INFORMATION: itiona wor to e e orme under t—checkispermit a apply: ©HVAC E] Gas Tank ❑Gas Piping _ Shutters © Windows/Doors 10 Electric ©Plumbing []Sprinklers Generator ©Roof Total Sq. Ft of Construction: R.10P S Ft. of First Floor: 2,100 Cost of Construction: $ $50,000 Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: Matthew Lyle Wynne Address: 0000 South W Hwy. 1 quite 402 Company: Wynne AevoiPpnient Corp. City: P9rt 5t, Lucie State: FL Zip Code: $4952 Fax: (772) 070-7555 Phone No. (772) 070-5513 Address: 0000 South LIS Hwy, I SuiLe 402 City: Port St. i-UCie State: FL Zip Code: 34952 Fax: (772) 070-7656 Phone No..(772) 670.5613 E-Mail: Cheri a@wynneb0.c0m Fill In fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: cheri>rmwynnebc.c0m State or County License: C0003599 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: Braden BBraCen MORTGAGE COMPANY: _ Not Applicable Name: Address: 417C—utAve- Address: City: Boren State: FL. Zip: 34M Phone: a72i2e7-825e 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 Y makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this r:)L0 day of 14,0,q f t— 20 oby Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sTLucIE The forgoing instrument was acknowledged before me this 6Lo day of t+)-ArL 20�o by MATTHEW LYLE0WYNNE MATTHEW LYLE WYNNE (Name of person acknowledging) (Name of person acknowledging ) Lea-L O�, /� a,,o&ali, . A&0-k . (Signature of Notary blic- State of Florida ) (Signature of Not Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION N GG 030145 ThN Notary Pudic Personally Known x Type of Identification F Com OR Produced Identification REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS