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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Ems 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: 2 LAGOS DEL NORTE Legal Description: EAST 112 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-11 t-0001-000-5 Site Plan Name: COUNTRY CLUB VILLAGE Project Name: Setbacks Fri 27' Back: 26' Right Side: 24' Left Side:19, DETAILED DESCRIPTION OF WORK: Lot No. Block No. SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOMS - 2 BATHS - 1 1/2 GARAGES NO SLAB WILL BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: bona work to 5e ertormed 7HVAC © Electric ❑✓_ under tispermit—check Gas Tank []Gas Piping Plumbing Sprinklers all apply: In Shutters D Generator Q Windows/Doors W1 Roof Total Sq. Ft of Construction: 2,484 Cost of Construction: $ 58,000 Utilities'. S Ft. of First Floor: 2,484 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: FI_ Zip Code: 34962 Fax: (772) 878-7656 Phone No. (772) 878.6613 Address: 8000 SOUTH US RIMY. 1 - SUITE 402 City: PORT ST• LUCIE State. FL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 E-Mail: Fill in fee simple Tide Holder an next page ( if different from the Owner listed above) E-Mail: State or County License: 08898 11 value Of consuucaan WW500 or more, a KIPOKU D Notice at Commencement is required, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: SWEN £BRADEN MORTGAGE COMPANY: _ Not Applicable Name: Address: an COCONUT AVE. Address: City: STUN State: FL Zip: aa9se Phone: o72)287-8258 City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent Signature of Contract nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST, i„ c,t E COUNTYOF ST-I u(tC The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2 day of JV &9 � . 20 W-by this -2a day of N9-v,a-� . 20 �/ by 177 A- I'o-`w L y c-E Gu yns of e ih t1 zrNe7v C Yc 6 Gt_)YnnJr; (Name of person acknowledging ) ee1off person (Name h1/ J,0�4-2, (.law /�JGf�c.. �acknowledging) rS�l 4Il n (�f�+" (Signature of Nota Public- State of Florida) (Signature of Nota Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identificati a DCOROT�H SKIN KIN Commission No. Commission '.. DORO BASKIN No. Y _-�;<:..... `;M 05443 =^:z;cam........ ', EXPIRES: Octobe2224� oc WOW , '�___• RCVLSCd o7/L5�2 "`pF�,°•'•': Baled TMu Notary Public Urdenmtem REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS