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PERMIT APP - 10 GORDA
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, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 10 GORDA Legal Description: SECTION 261 TOWNSHIP 36s /RANGE 40e Residential X Property Tax ID #: 3414-501-1701-000/9 Lot No. Site Plan Name: SPANISH LAKES ONE Block No. Project Name: Setbacks Front 20'6" Back: 46' Right Side: 21' Left Side: 12'6" DETAILED DESCRIPTION OF WORK: REPLACEMENT HOME: SINGLE FAMILY RESIDENCE - 1 BEDROOM / DEN / 1 1/2 BATHS / GARAGE A SLAB WILL BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: II LtjHVAC I _IGasTank ©Electric ❑✓_Plumbing Total Sq. Ft of Construction: 1.760 Cost of Construction: $ $68,000 iui—au app'y. 11 Piping _Shutters aWindows/Doors nklers ❑ Generator ❑✓ Roof _ S�Ft.I of First Floor: 1.750 Utilities: LJSewer ❑Septic Building Height: OWNER/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 Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) $78-5513 Address: 8000 South US Hwy. 1 Suite 402 City: Port St. Lucie State: FL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 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: ched@wynnebc.com State or County License: CGC03599 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Brae &Baden MORTGAGE COMPANY: Name: _ Not Applicable Address:4+TCa WA". Address: City: Bwa State: EL Zip: Uesc Phone: (772)187-e25e City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ 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 -� 5 _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE STATE OF FLORIDA COUNTY OF ST LUCIE The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1N dayof 20 �1by this;J-dayof l sp no .. Q r 20 ?I by MATMEW LYLE WYNNE I MATTHEW LYLE WYNNE (Name of person acknowledging I (Name of person acknowledging) (Signature of Not2d Public- State of Florida ) (Signature of Nota(yPublic- State of Florida ) Personally Known X Type of Identification g Commission No. Revised 07/15/2014 OR Produced Identification DOROTHYA"IN BASK,N MY COt)ON # HH 045443 EXPIRES: October 2, 2024 Personally Known X Type of Identification P Commission No. OR Produced Identification iced OOROTHYAOM*KIN M.Y COMM;SSICN # HH 045443 EXPIRES: ONnhor9 cmc Gcr�__Ced Thru Notary Public Underx itm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS