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HomeMy WebLinkAboutBuilding Permit Applicationr'
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
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