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PERMIT APP - 58 MEDITERRANEAN NORTH
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 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: 58 MEDITERRANEAN NORTH Legal Description: SECTION 26 / TOWNSHIP 36s / RANGE 40e Property Tax ID #: 3414-501-1701-000/9 Site Plan Name: SPANISH LAKES ONE Project Name: Setbacks Front22' Back: 22' DETAILED DESCRIPTION OF WORK: Right Side: 15, Left Side: 15� REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 3 BEDROOMS 12 BATHS / 1 1/2 GARAGES NO SLAB WILL BE BUILT OFF REAR OF HOME Lot No. Block No. CONSTRUCTION INFORMATION: itiona war to ❑_✓ HVAC e nertormea 1:1 un Gas Tank ert ispermit—c ec ❑Gas Piping a apply: _Shutters Windows/Doors Electric W1 Plumbing Sprinklers Generator W1 Roof Total Sq. Ft of Construction: 2.484 Cost of Construction: $ $58,000 S Ft. of First Floor: 2,AAA Utilities:CnSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name %nne Building Corp. Name: Matthew Lyle Wynne Address: 8000 South US Hwy. 1 Suite 402 Company: Wynne Development Corp. 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: Pat St. Lucie State: FL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 E-Mail:-cheri@wynnebc.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: chen@wynnebc_com State or County License: CGC03599 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III Ut201f7ntK/tivunvttK: Not Appllcame MORTGAGE COMPANY: _ Not Applicable Name: BrawnBBraden Name: Address: 417 Cornnut Ave. Address: City: swen State: FL. City: State: Zip: 3,sse Phone: (n2)m7-sz Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable I BONDING COMPANY: _Not Applicable Name: _ Address: City: 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 of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument W acknowledged before me _ti thisdayof ©C. , 20 of by MATTHEW LYLE WYNNE (Name of person acknowledging ) STATE OF FLORIDA COUNTY OF ST wcIE The forgoing instrument w`�as0packnowledged before me this day of O G `f�o�— . 20 ,;1_1 by MATTHEW LYLE WYNNE (Name of person acknowledging) ac"n 1-k-, 0"� /� a� A. O a-� A"O'L- (Signature of Nota ublic- State of Florida ) (Signature of NotW Public- State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identificatio a «"' • "'•• _ DOROTHYANN aASKIN ,••t>^`teY"'•, Commission No. fin: DOROT{{ AANNNN BASKIN _[ # '• Commission No. a MYCOMMI$Sfl54HH045W :,: COMMISSSSION # HH 045443 "7 ' EXPIRES: October 2, 2024 '3'. `�+i. EXPIRES: October 2, 2024 ;t'o{Mqc; 80ndad?hru No PublicU BondedPublic nderxrders 2014 Revised 07/15 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS