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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. I .�
I
Date: Permit Number:
11. ut�'�1:�1,: .. �..
JUN 9 J 2017
-- — --- ..Building- Permit Application
Planning and Development Services Lt. Lucie Coa:zty, FL
-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: 56 GOLF.DR.
Legal Description SECTION 26./ TOWNSHIP,36s / RANGE 40e
Property Tax ID #: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 31' Back: Right Side: 13'6" Left Side: 64'6'`
DETAILED DESCRIPTION OF WORK:
MOBILE HOME REPLACEMENT: SINGLE FAMILY RESIDENCE - 2 BEDROOM / 2 BATH /
GARAGE
CONSTRUCTION INFORMATION:
Additional work to . e nortormed under t is permit— check all apply:
�HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
C
zElectric D Plumbing E]Sprinklers Generator Roof
Total Sq. Ft of Construction: 2,108 S . Ft. of First Floor: 2,108
Cost of Construction:$ $58,000 UtilitiesSewer 0Septic Building Height:-
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew•Lyle Wynne
Company: Wynne Development Corp.
Address: 8000 South US Hwy. 1 Suite 402
City: Port St. Lucie- State: FIL
Address: 8000 South US Hwy. 1 Suite 402
Zip Code: 34952 Fax: (772) 87&7656
City: PortSt. Lucie .. State: FIL .
Phone No. (772).878-5513
Zip Code:. 34952 Fax: (772) 878-7656
E-Mail:
Phone No. :(772) 878-5513
Fill in, fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above)
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: Braden & Braden.
Address: 411 coconut Ave.
.City: Stuart State: FL.
Zip: 34996 Phone: (772)287-8258
FEESIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone.,. .
MORTGAGE COMPANY:; — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 coricurrency 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 recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
s
Signature.of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF � F, . COUNTY OF
The forgg instrumen was acknowledged before me The forgging instrume t was acknowledged before me
this day of 20 17 by this % Tday of 20 1 by
U.
CyC F �U YN N !�%� i�LJ C`/ c€ivy
(Name of person acknowledging). (Name.of person acknowledging)
(Signature of Not Publi�c-State of Florida )
Personally Known L/ OR Produced Identification
Type of Identification Produced
Commission No. .;' }pyv;tigi , COM� 1S4AI )GG 030145
t. 7 EXPIRES: October 2, 2020
?• ...: - -.4 TKO MMAM Public Underwriters
Revised 07%15 . 14.
(Signature of Notaryb/lic- State of Florida
Personally Known V OR Produced Identification
Type of Identific d
DOROTHYANN BASKIN
Commission No. My COMMISSIOgg6W�30145
MIN
EXPIRES:OBonded TIAM NotarycPublic Underwriters
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