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Building Permit Application
r' ALL APPLICABLE INFO MAST 0E COMPLETED FOR APPLICATION TO BE ACCEPTED 1 �1 Date: 3..p-catp . Permit Number:,9 ct - 0� .i RECEIVED, Building Permit Application. DEC .3. Planning and Development Services Permifting-Department - hl0ding and Code Regulat%nVvision St. Lucie County 2300 Virginio Avenue,'Fort Pierce FL 34982 Phone; (772) 462-1553 Fax:. (772) 462-1578 ..:Commercial. Residential, X - . . . . . . . . . - - - PERMIT APPLICATION' FOR:: Building PROPOSE! (MPR`OVEMENT LOCATION. Address: 2 TOSCA:. ' Legal Description:. EAST-1/2.OF SECTION. TOWNSHIP 34S -. RANGE 39E Property Tax ID # 1301=111=0001-000=5 : Lot No: Site Plan Name: COUNTRYCLUBVILLAGE .- Block No. Project Name:: .. Setbacks Front25'. Back: -31'- - Right Side: 157' Left Side:: 15' DETAILED DESCRIPTION IF WORK: SINGLE- FAMILY: RESIDENCE -(replacement home)- 2 BEDROOMS 2 BATHS GARAGE NO SLAB WILL BE. -BUILT OFF. REAR OF HOME CONSTRUCTION INFORMATION:. Additional work to . e e orme under tis'permit-c ec a apply: DHVAC r] Gas Tank OGas.Piping _Shutters Q Windows/Doors• © Electric D 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 L Septic Building Height- OWNER/.LESSEE;.. CONTRACTOR: . Name WYNNE BUILDING -DEPARTMENT .. Name:'MATTHEW LYL E WYNNE . . Address: 8000 SOUTH US, HWY. 1-- SUITE 402 Company: WYNNE DEVELOPMENT:CORPORATION . City: PORT ST. LUCIE .. State: FL. Address: 8000 SOUTH US HWY. 1 - SUITE:402 . ZipC34962: Fax:-(772878-7656 T City: PRT.T. UCIE -.FL ..- t Phone.No.'(772):8785513 Zip Code:-34952 - Fax:- (772) 878-7656 E-Mail: ..Phone No. :(772) 8787551:3 _Fill in -fee simple Title Holder on. next page (if.different- E-Mail:.. ' from the Owner listed above) State or County License-, 08898. w SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not -Applicable MORTGAGE COMPANY- _ Not Applicable Name: Bw F=N&sRADEN Name:. Ad d ress: 417 COCONUT AVE. Address: City: MART- . State: FL City: State: Zip: 34996 Phone: (772)287-H258 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 Count 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 relay 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 l will, in all respects,, perform the work in -accordance with the approved plans; the Florida Building.Codes and St: Lucie County Amendments. The following'bu.ilding permit applications a. re 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 .fi_rst inspection. If:you intend to obtain financing, consult with lender or an attorney before. commencine Work or recordin�_vour Notice of Commencement. s Signature of Owner/ Lessee/Agent .Signature.of:Contractor/License Holder. STATE OF FLORIDA STATE Of FLORIDA COUNTY OF COUNTY OF j Lao t w The for oing instrym�en-t�was acknowledged efore me The forgoing instrument was acknowledged be-fore.me this day of J.CZr/t�' 2 20 y this � day of Ji(-(f7lUkj , 20 X)by qL (Name of person acknowledging) (Name of person acknowledging) ' � cDc )(�C (Signature of otary Public- State of Florida) (Signature. f otary.Public- State of Florida ) Personally Known OR Produced Identification Personally Known-. OR Produced Identification Type of Identification Produc of Identification Produce jo mmission q GG 6217 commission N GG 621' Commission No. . SEG I o ission No. , 5 {Commission Expiry y, My Commission Expi e '•.,?a.�°r.�. January 14, 202 °;;;,.�� January 14, 2021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW _ REVIEW DATE COMPLETE INITIALS �j