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PERMIT APP - 57 GRANDE CAMINO WAY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED Date: Permit Number: 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 I PROPOSED IMPROVEMENT LOCATION: Address: 67 GRANDE CAMINO WAY Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-111-0001-000-5 Site Plan Name: COUNTRY CLUB VILLAGE Project Name: Setbacks Front 26' Back: 34' Right Side: 19' Left Side: 15, DETAILED DESCRIPTION OF WORK: SINGLE FAMILY RESIDENCE (replacement home) NO SLAB WILL BE BUILT OFF REAR OF HOME Lot No. Block No. 3 BEDROOMS - 2 BATHS - 1 1/2 GARAGES I CONSTRUCTION INFORMATION: II Aaaiaond i worrc r.o ue errurrneu unuer uru permit -cnecK du apply: ❑_✓ HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors ©Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 2,484 ScFt. of First Floor: 2,484 Cost of Construction: $ 58,000 Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING DEPARTMENT Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US HWY. 1 - SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION City: PORT ST. LUCIE State: FL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE State: FL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 87B-5513 E-Mail: Fill in fee simple Tide Holder on next page ( If different from the Owner listed above) E-Mail: State or County License: 08898 If value of construction is $25M or more, a R=IWED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: BRADEN&BRADEN MORTGAGE COMPANY• Name: _ Not Applicable Address: ancocoNurnve. Address: City: STET State: FL Zip: 3asee Phone: anlss7a City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable 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 _ Signature of Owner/ Lessee/Agent Signature STATE OF FLOIeA STATE OF FLORIDA COUNTY OF S' . iC ." COUNTY OF S. - kxcr e The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this �2Qday of ORIL 20 It by this cR dayof A -PR![. .20 al by JMATr/E_1� LYL& IN\//N,v4F y4,4773/EW LYCe GJ?oNtie (Name of person acknowledging ) (Name of person acknowledging) (Signature of Nota ublic- State of Florida ) (Signature of Nota ublic- State of Florida ) Personally Known ✓OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced IN Commission No. -=: """'• .,:a. MYOCORMSSIONit HH 045443 Commission No. "i _� COROTH ION#HiS 45 as,? MY COMMISSION p FiH 1M5443 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS