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Building Permit Application
ALL APPLICABLE INFO MUSTI BE COMPLETED FOR APPLICATION TO BE ACCEPTED U q Date: 14 1AS %11 1 Permit Number: i RECEIVED OCT 18 201 r I 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 PROPOSED IMPROVEMENT LOCATION: Address: 49 GOLF DR. Legal Description. SECTION 26/TOWNSHIP 36s/RANGE 40e Property Tax ID#: 3414-501-1701-000/9 Lot No. Site Plan Name: SPANISIJ'LAKES ONE / Block No. Project Name: Setbacks Front 21' Back: 41' Right Side: 12'3" Left Side: 12'3" DETAILED DESCRIPTION OF WORK: MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 3 BEDROOM /2 BATH / A-17T GARAGES [CONSTRUCTION INFORMATION: AdclitionalworKtobenertormedunder this permit—check all apply: ✓ZHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Z✓ Electric Plumbing Sprinklers 1:1 Generator RooV2,484 . 2,484 Total Sq. Ft of Construction. S Ft.of First Floor. Cost of Construction:$ $58,000 Utilities:Sewer Septic Building Height: OWN ER/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:FIL 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 I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i i ' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Braden a Braden Name: Address:417 Coconut Ave. Address: City: Stuart State: FL. City: State: Zip: 34996 Phone: (772)257-6258 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. --� - Lzs _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLO DA STATE OF FLORIDA COUNTY OF �T. �Gc C COUNTY OF The forgoi g instrument was acknowledged before me The forgoins instrument was acknowledged before me this,f2?ay of ©C-t-c��� 20 L 7 by this 18ay of ©c7M e&Z .20 17 by /)/AT7W 9_W 6 VC-6- bU Y vYV P",a77?-1(6r-W /_ !f L W YN Ne (Name of person acknowledging) (Name of person acknowledging) _ Cam., . 4 A (Signature of Nolyy Public-State of Florida) (Signature of Nota ublic-State of Florida) Personally Known ✓ OR Produced Identification Personally Known V-/ OR Produced Identification Type of Identification Produced Type of Identificatin �g r ''r?::?yap•" DOROTqYCAN BASKINril c� ••• : DOROTH AN�N� ASKIN Commission No. `` Commission No. e,+YCOh1MIStrlrrtE�G030145 .41 COAIMI t �� GG 030145 —_ :— EXPIRES:October 2,2020 I - ?:;; EXPIRES:October 2,2020 F_ _•F, Bonded Thru Notary Revised 07/15/2014 i i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ' i I I i