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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number 100
:
Building Permit Application
Planning and Development Services
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Building and Code Regulation Division PER66M TING
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County,FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
4PROPOSED IMPROVEMENT LOCATION:
Address: 7 FLORIDA WAY
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE'40e
Property Tax ID#: 34.14-501-1701-000/9 Lot No.7
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 30' Back: 46' Right Side: 12'6' Left Side: 19'6"
JDtTAILED, DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM /2 BATH /
GARAGE
CONSTRUCTION,IN FORMATION:
itiona wor to e e orme un er t is permit—c ec a t apply:
ZHVAC 11 Gas Tank Gas Piping _Shutters Windows Doors
❑ a ,
❑✓—Electric ✓❑—Plumbing []Sprinklers Generator 7 Roof
Total Sq. Ft of Construction: 2,108 L� S . Ft.of First Floor: 2,108
Cost of Construction:$ $58,000 UtilitiesInSewer 0Septic 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: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: CGC03599
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 BBraden Name:
'Address:417 Co-nut Me. Address:
City: Stuart State: FL. City: State:
Zip: 34996 Phone: (772)287-8258 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.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S,. "c_(.6- COUNTYOF Sf "cce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ` day of �&'8Rc t�N 20 Eby this=day of �}gy ,20 17 by
(Name of person acknowledging) (Name of person acknowledging)
Signature of Not4 Public-State of Florida) (Signature of Nota ublic-State of Florida)
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Personally Known_(,Zf OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification
"o DOROT A BASKIN ,,��} 44'r DOROTHYANN BASKIN
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Commission No. :'�• "••:h•; Commission No. = MYCOMMI@�iL00030145
Y COMMI t GG 030145 . .
'" EXPIRES:October 2,2020
r :cc EXPIRES:October 2,2020 Bonded ThN Notary Public Underwriters
Revised 07/15/ 14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATECOMPLETE J
INITIALS i —
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