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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONtf ALL APPLICABLE INFO- MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Cou rv-r y Permit Number: Building Permit Application DEC 0 6 2017 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553: Fax: (772) 462-1578 PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 55 SAN.LUIS.OBISPO PERMITTING St. Lucie County, FL Commercial ,Residential X Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-1 11-0001-000-5. Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front 34' Back: 40' Right Side: 18, Left Side: 1.6' , DETAILED DESCRIPTION OF WORK: SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE CONSTRUCTION INFORMATION: Additional work to . e nertorrned under this permit.— check all apply: ZHVAC Gas Tank Gas Piping _Shutters Windows/Doors Z✓ Electric 0 Plumbing Sprinklers Generator FV/i Roof Total Sq. Ft of Construction: 2,108 S . Ft. of First Floor: 2,108 Cost of Construction: $ 58,000 Utilities: o Sewer F. � Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameWYNNE.BUILDING DEPARTMENT Name: MATTHEW LYLE WYNNE Company: WYNNE DEVELOPMENT CORPORATION Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE _ State: FL Address: 8000 SOUTH US HWY. 1 - SUITE 402 Zip Code: 34952 Fax: (772) 878-7656 City: PORT ST. LUCIE State: FL 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: 08898 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable MORTGAGE. COMPANY: _ Not Applicable . .Name: BRADEN&BRADEN Name: Add ress: 417 COCONUT AVE. Address: City: STUART State: FL City: State: Zip: 34996 Phone:(772)287-8258 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 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 .pay! ng twice for improvements to your property. A Notice of Commencement must be recorded acid 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 our Notice of Commencement. _ Signature of Owner/ Lessee/Agent Signatur'� License Holder S STATE OF FLORIDA STATE OF FLORIDA COUNTY OF k-M c c C COUNTY OF The forgoing instrument was acknowledged before me The forgo �q. instrument was acknowledged before. me this 2�`�dayof p�,cyniSc'7Z, 20 /7by this�'dayof %1/0()67"/3 20 17 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota Public- State of Florida) (Signature of Nota blic- State of Florida ) Personally Known t/OR Produced Identification Personally Known OR Produced Identification Type of IdentificatiRy.P"dType of Identification Produced —� DOROTHYANN BASKIN =a ' •'; Commission Commission No - OA1611SSI0(�i� 030145 EXPIRES: October2, 2020 Revised 07/15/2014 DOROTHYANN 1 `Ec�MMISSION #�G 030145 EXPIRES: October 2.2020 REVIEWS FRONT_ COUNTER', ZONING' REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE . REVIEW DATE COMPLETE I Co. ( INITIALS