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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:. 5` 13Iao :. ;Permit Number:.. -- -- MAY 1, 3 2020 Building Permit Application..: Planning and Dev�elopment5ervices • Lucie County, Perrilitting sr Building and Carle Regulation Division �2300 Virginia Avenue, fort Pierce FL 349$2 Phone: (772) 462=1553 Fax: (772) 462-1578 :Commercial. 'Residential; X. . . . PERMIT -APPLICATION FOR::, Building PROPOSEp IMJPROVEMENT LOCATION:. :Address:' 1 QUITO. Legal Description:- EAST 1/2 OF SECTION 1--TOWNSHIP-34S�-.RANGE 39E - Property Tax (D #: 1301-111-0001-000-5 Lot No. - Site Plan Name: COUNTRY CLUB VILLAGE Block No.' .Project Name: _ . . Setbacks =Front25'_'Back: 20'6' -Right Side:.2$� Left Side: 21" DETAILED�,DESCRIPTION OFWORK: ` - SINGLE FAMILY RESIDENCE (replacement home).-- 3 BEDROOM 2-BATHS'- GARAGE.. . NO SLAB WILL BE BUILT'OFF REAR OF HOME CONSTRUCTION INFORMATION: iticna wor .to e e orme :.under t is permit_— check a apply: ❑✓_ HVAC. Gas Tank Gas Piping Shutters a Windows/Doors © Electric ❑✓_ Plumbing . Sprinklers ElGenerator - . 1 Roof Total Sq:.Ft of Construction: 2;275 - S . Ft: of First* Floor:. 2,275 Cost of Construction: $ 53;000 -Utilities:�Sewer LJSep: Building Height:- OWNER/LESS'EE CONTRACTOR:; Name 9IUYNNE QUii-1)11dG DEPARTMENT Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH USAVVY, I --SUITE 402 Company: 'WYNNE DEVELOPMENT:CORPORATION City: PORT ST, LUCIE .. State: FL Address:.8000 SOUTH US HWY, 1 - SUITE-402 Zip Code' :.34952::.. ..: , Fax: (772) 878-7.656 .. City: PORT.ST, LUCIE State: FL. . Phone -No: (772):878-5513 Zip Code: 34952 Fax:- (772) 878-7656 1-Mail: Phone No.:(772) 878-5513- Fill In fee5impleTitle Holder on. next _page (if different j E-Mail.:.. State or County Licenser 08898 from the Owner listed above) t" SUPRUM ENTAL CONSTRUCTIONmLIEN LAW INFORMATION: . . DESIGNERANGINEER: .:.:. _ Not Applicable MORTGAGE COMPANY• _ Not Applicable .: . Name: .$RADEN&BRADEN .' .:.. Name:. Address: 4V C0GdNUTAVE. Address: City:'.- . State: City.: 'STUART State: FL. Zip: 349916Phone:' (772)47-848 Zip: Phone:: ' FEE -SIMPLE TITLE. HOLDER:_ . Not Applicable _ :. .. . .... .. .. BONDING COMPANY:. _Not Applicable .; . Name: Name:. . Address:. Address: .City: : City:: Zip: Phone: Phone:. I certify that_no work or installation has comniehced prior to the imance of:a permit.: - - - ... St' Lucie County makes.no representation that is -granting a perrriit will authorizethe permit holder.tobuild the subject:structure : is Home Owners bylaws antl which -in conflict with any applicable Association rules, or 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. Inconsideration of the granting of this requested permit,: I do hereby agree that l will' in all respects' perform the work . in accordance wi.th'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:paymg 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.,.'-' ' 6 encin work or reco our. Notice of Commencement. . s. Signature of Owner/Lessee/Agent Signature.of:Contractor/License Holder. '. STATE OF FLORIDA STATE OF FLORIDA COUNTY OF [ jr:COUNTY OF-_ ST The forgoing.Instrument was acknowledged before me .: The forgoing instrument was acknowledged before.me .this _:�L day of 20 Eby this .7 day of 20 by (Name of person acknowledging) .(Name of.person acknowledging) (Signature of Not Pub/lic-State, of Florida) (Signature of Nota blio- State of Florida ) Personally Known ✓ OR Produced Identification'-, Personally Known . OR Produced Identification Type of Identification Produced Type of Identification Produced "•. DOROT436y" BASKIN Commission No.F__ Commission No. "P; •.. DOROTA"WkIN MY COMMISSION # GG 030145 : � ' ' ,;G MY CO.MMISSiON # GG 030145 �- PIRES:October 2, 2020 ;se 0 .�qp'' BonderiltuuNotaryPublicUndervm %fi••.. �• •„ �� �R•�` Bondetl Thni Notary Public Urxleiv�riters Revised oa REVIEWS FRONT: ZONING ' SUPERVISOR PLANS '. VEGETATION : SEA TURTLE - MANGROVE: COUNTER. - REVIEW REVIEW '.'REVIEW.' REVIEW W' --REVIEW. '.REVIEW'.' DATE' -COMPLETE INO AALS..