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HomeMy WebLinkAboutBuilding Permit Application ALCAPPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE-ACCEPTED Date: Permit Number: Z`1 1 . Bui1 ' P i ffl n Planning and pevetopment Services Building:find Code Regulotron'Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone:(772).46211553 Fax: (772)462-1578 Comm rda ReSdentiial..X PERMIT APPLICATION FOR: Building PROPOSE©111lIPROVEItLNT LOG4TI4Nw Addresst 172:CALLS DE LA�US Legal Description: EAST 1/2 OF SECTION 4-'TOWNSHIP 346-RANGE 39E Property Tax ID#: 1301-111-000'1-000-5 Lot No... Site Plan Name: COUNTRY CLUB VILLAGE Block.No.. Project Name: Setbacks Fr6nt2V Back: 13! Right.Side:. 23' Left Side: 20' DETitIiLED DESCRIPTI, OF WORK L SINGLE:FAMILY RESIDENCE(replacement home) - 3 BEDROOMS--2 BATHS- . 112 GARAIIES NO SLAB TO BE BUILT OFF REAR OF HOME CONSTRUCTION [NEORMATION _ i Additional work to be L___I orme un er t is permit-c ec a app y: �.HVAC Gas-Tank. ❑Gas Piping _Shutters: Windows/Doors PI-Electric ® Plumbing El Sprinklers D Generator Fl(] Roof Total Sq.Ft of Construction: 2,484 5 .Ft,of First F{oor: 2=4 Cost of.Construction:$ 58.000 Utilities:F Sewer FI Septic Building Height: 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 Address: 8000 SOUTH US HWY,1 -,SUITE 402 Zip Code: 34952 Fax:(772)878-7656 Cif.. PORT ST.LUCIE State: FL 'Phone No..(772)878-5.61.3 Zip Code: 34952 Fax: (772),878-7656 E-Mail: Phone.No. (7.72)878-5513 Fill in:fee simple'Tiitle.,Holder on next"page. If different E-Mail: from the Owner listed above) State.or County License: 08898 If value of,construction Is$2560 or.,more,a RECORDED,Notice of Commencement Is requires!. D£51G�tER/ENGNEERs _Not Applicable MORTGAGE COMPANY:. —Not Applicable Name: BRADEN&BRADEN Name: Address:an cocorturAVE.: Address: City. STUART State::F� City: State: Zip . 34996 Phone: (77 ).;2s7-8m. 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.i&k.orinstal.lation.has commenced prior to the issuance of a permit:. St;:-Lucie County makes no representation that is granting apermit 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'restrictor prohibit such structure.Please consult with'youOr 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 building,permit applications are exempt.from.undergoing a full concurrency review:room additions,, accessorystructures,swimmirig.pools,fences,walls,signs,screen rooms,and accessory uses to another non-residential use WARNING TO OWNER-.Your failure.to Record a Noticeof 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 firstinspection. If you intend to obtain financing;consult with lender or an attorneybefore commencing work or recording our Notice of Commencement. s Signature.,of Owner/Lessee/Agent Signature of Contractor/license`Holder STATE OF FLORIDA STATE,OF FLOR,ipA COUNTY OF _s- .,�, cOunm OF The forgoing instrument was-acknoWedged'before ire The forgoing instrument was acknowledged before me this 11 dayof Y_kl 20 xby this 1 f day of °fir 20 zj� by (Name of person acknowledging) (Name of person acknowledging) (Signature of Not@ Public-State of`Florida) ;(Signature of Nota / ublic-State of Florida:)` Personally Known Produced Identification Personally Known OR Produced Identification Type:of Identification.Produced Type of Identification Produced av € DaROTHYO ASV.1N DORO iHYA7 Phjf INCommission No . al,Commission No, . Ht 4YH 04543 EXPIRES:O.dtober2,2Q24 EXPIRES:Ostober2;2C�24 �t e •.•., o� .�,: `:,.,•• v try e, Hers Revised'07/1 oi4 _ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEATO RTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW` REVIEW` DATE COMPLETE WrnAis