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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1-1 b°\•-oA '
- RECE1'.':D SEP 202017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROP SE114""IPROVEMENT LOCATION:
Address: 14415 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front 31' Back: 34' Right Side: 14' Left Side: 19'
DET ILED DErllSCRIPTION OF WORK. J
SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM /2 BATH / GARAGE
CO`NSTRUCTION:INFORMATION , ; 66
Additionalworkto e e orme , un er t is permit—check a apply:
ZHVAC0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ZElectric 0 Plumbing ❑Sp inklers Generator Roof
Total Sq. Ft of Construction: 2,108 S . Ft.of First Floor: 2,108
Cost of Construction:$ 58,000 Utilities:n Sewer O Septic Building Height:
QUUNER%LESSEE ' CONTRACTOR: F E.,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:
CGC03599
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
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: 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.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. c-fr COUNTY OF ram. L,L4orj.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /Vydayof SeP-rFmdeX 20 Lby this day of 20 17 by
L'tc. [Ad V1,-,'u,C- 10P477XeW �_VCX_ MY,-JNc
(Name of person acknowledging) (Name of person acknowledging)
L,",Q,
(Signature of No Public-State of Florida) (Signature of Not Public-State of Florida)
Personally Known L,," OR Produced Identification Personally Known •%R Produced Identification
Type of Identification Produced Type of Identification Produced
`e"', ?tee' DOROT �@N BASKIN •••
Commission No. Commission No.
_ ? MY COMMISSION GG 030145 r;• N BASKIN
EXPIRES:October 2,2020 MY COMMISSION#GG 030145
!mac
,for F 4••' Bonde ru otary u ]c n erwn % c Bonded Thni Notary public Underwriters
Revised 07/15/ --
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