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ALL APPLICABLE (INFO
�-/MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1�
Date: L,p' I Permit Number:
P
SCANNED
Building PbTrffiNibAp fi'i' tion DEC 2 � 2017
Planning and Development Services
Building and Code Regulation Division PER1111 i 1NIG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
0 1 PRUV M NT LOC TION:
Address: 10 VILLA MARIA
Legal Description- EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 35' Back: 15' Right Side: 15' Left Side: 15'
D irSCRIPTI N O ORK:
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE
itiona work to Se perorme un er is permit - c ec a app y:
ZHVAC Gas Tank ❑Gas Piping Shutters Q
_ Windows/Doors
Electric 0 Plumbing Sprinklers
Generator Roof
Total Sq. Ft of Construction: 2,108 Sq. Ft. of First Floor: 2,108
Cost of Construction: glAtilitiesElSewer Septic Building Height:
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: 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 required.
J
DESIGNER/ENGINEER: _ Not Al
Name: BRADEN & BRADEN
Address: 417 COCONUT AVE.
City: STUART
Zip: 34996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
cable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State: FL
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORJDA
COUNTY OF J ' _ "c cc COUNTY OF S7- LA, c ,�
The forgoiinng ins rument was acknowledged before me The forgoinstrument was acknowledged before me
this � ay
of r - n 20 1Zby this / Sday of �ynrSeX , 20 _ by
MAtrile-w L-� LC- (iU Y �� I 1q)A7rNG7A) �_YC.r W YN N i
(Name of person acknowledging) (Name of person acknowledging)
a't-'C' a""V, Aaa;=L
(Signature of Nota Public- State of Florida )
Personally Known OR Produced Identification
Type of IdentificatLpp eW4 !r,.q
Commission No.
Revised 07/ 15/2014
(Signature of Notary lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
DOROTHYANN BASKIN
('OMMISJ&k)GG 030145 Commission No.
EXPIRES: October2, 2020
ed Thru Notary Public Underwriters
DOROTHY(JA SKIN
COMMISSION # G 030145
EXPIRES: October 2, 2020
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