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HomeMy WebLinkAboutBuilding Permit Application.. .... .. . . ... .. . ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 09 ACCEPTEP Date: Permit -Number: Building: Permit Application Planning and Development Services Building and Code Regulatlon -Division 2.300 Virginia Avenue, Fort Pierce Fk 34982 Phone: (772) 46.2:-1553 Fax: (772) 46.2-1578 Commercial,' -ReSidential: X. PERMIT APPLICATION FOR: - Building PROPOSED IM,P,,R,,,bVEM ENT -LOCATION:. .AddreSS:rM.ECUADORWAS Legal Description: EAST-1/2.OF SIECTIOU I TOWNSHIP-34S - RANGE 39E. - - s Property Tax ID #: 1-3011-11114001-00015. 10t No. Site Plan -Name: CQUNTRY. CLUB VILLAGE Block No. Project Name: Setbacks Back: .20'. Right Side: .1 N Left'Side:: 20!_ - DETAILED DESCRIPTION OF WORK- F SINOLE. FAMILY REMDENCt ftepl=6 m.ent, home) 3 BEDROOM 2 BATHS - f 1/2-GARAGES NO SLAB WILL BE BUILT OFF. REAR OF -HOME 1,.qONST,R,UC,TlQN:.INFQRMAT[O,N:,, . . . . . . Additional.work to be nerrormed. -under this permit —check a [I apply: HVAC Gas Tank []Gas Piping Shutters zWi.ndows/Poors Electric Plumbing, Sprinklers E]Gbnerator 91 Roof 7 :Total Sq.-Ft of Construction: 2,404 S Ft of First Floor:. 2,484 Cost of C onstruction: 58000 . Utilities: Sewer LJ Septic Building Height: OWNER&ESS,Ef:, CQNTRA!ZTQR:, -Name WNNE 80LDwe DEPARTMENT Name:. MATT -HEW LYLE YVYNNE. Address: 0000 SOUTH US. HWY, I - SUITE 402 Company: WYNNE DEVELOPMENT:CORPORATION City: . PORT $T, 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) 078-5513 11.11 In. fee.s.Imple7l.t.le Hold.ek on. next page (If Allfferent E-Mail:.. 66m, the ow'"nerlhst6dl abbva) State or County License: 08898 . if value more, @RECORDED Notice 0 Commencement Is required. _ Not Applicable .DESIGNER/ENGINEER: MORTGAGE.COMPANY: ..Not Applicable . Name:. OwEN A PPAPFJII . Name: Add ress:'4VCOCO MUTAvE. 1Address: fiTl1AR7 FL City: State: City: State: Zi..p: arise Phone: (772)287--a25e Zip: Phone: . FEE.SIMPLE TITLE HOLDER: ' _ Not Applicable BONDING COMPANY:. _Not Applicable Name: Name: Address:. Address: City: City:: Zip: P. hone: 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 th-e'subject structure which is in conflict with any applicable -Horne Owners Association rules, bylaws bran 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 thati 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 tlie.first inspection. If you intend to obtain financing, consult with lender or. an attorney before commencing work or recordin : our Notice of Commencement..: Signature of Owner/ Lessee/Agent Signature. of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF S'; , The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this oZ$ day of ©cTt� 8t"n 20 6!01 y this 628' day of O ' C-1-06E-A 20 . 0,10 by /nA=TrNe d LYcF � tiN Nr 19-77-9CW LYE W YiuW� (Name of person acknowledging) (Name -of person, acknowledging) (Signature of Nota ub/lic-State'of Florida) (Signature of Not& Public- State of Florida) = Personally Known. ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced' Type of Identification Produced Commission No.. `"Y Commission N : <�? DOROTHYAN DOROTF{1��iN BASKIN N . , MY COMMISSION # HH-045443 .? *= MY COMMISSION HH 045443 "'•%.�F?``� Bonded ThN Notary Public Undatxrtltera ig .. I °j Bonded ThN Notary Public Undwflitaa Revised 07/15 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE - MANGROVE:. COUNTER.:. REVIEW REVIEW:. REVIEW.. REVIEW. REVIEW- - REVIEW.: - DATE COMPLETE If�ITIALS