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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2`�
Date: l - �� Permit Number:
ts= ECEIVE
Building Permit Applicatio ..JAN 2 0.2017 I
Planning and Development Services
Building and Code Regulation Division D'
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial fteriential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:,
Address: 6572 ZAPOTE
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.6572
Site Plan Name: SPANISH KES FAIRWAYS Block No.
Project Name:
Setbacks Front 32' Back: 19' Right Side: 18' Left Side: 67'
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM /2 BATH / GARAGE
CONSTRUCTION INFORMATION:
Additional work to e performed under this permit—check all apply:
Z✓ HVAC 0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S . Ft.of First Floor: 2,108
Cost of Construction:$ 58,000 Utilities:]Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP. Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State:FL Address: 8000 SOUTH US HWY. 1 SUITE 402
Zip Code: 34952 Fax:(772)878-7656 City: PORT ST. LUCIE State:FL
Phone No.(772)878-5513 Zip Code: 34952 Fax: (772)878-7656
E-Mail: Phone No. (772)878-5513
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC0359
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable,
Name: BRADEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34995 Phone: (772)287-8256 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 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
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent V Signature of Contra or/License Holder /
STATE OF FLORID STATE OF FLORIDA
COUNTY OF L VGc.tl COUNTY OF W— L X c.e.
The for oing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof OL%q1,1a 20 aby this 10 dayof aAU_,a 20 G7 by
Le- (A)4nne_ M r-
(Name of person acknow ging) (Name of person acknowle g)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known Y OR Produced Identificat' Personally Known \/_ _ t"
Type of Identification Prod c atida— Type of Identification Produ ,d ttA State of Florida
Notary Public �p S :talmPublic
dka
Kerl�a d a Ission FF 97a5a3
Commission No. F� tssionFF97s543 Commission No.MY or�o 51;2512020
�Pues 0512512020
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIlfW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE p�, (
INITIALS