HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONv
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� f
Date: oZ- dg 57• l7 SCANNEDPermit Number: 1%7' 7,36
BY
St Lucie County
Building pp Permit Application RE(777
Planning and Development Services DEC 2 9 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
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Building
UtYILSt(tl J IIL°xAl\Jo TT^ -----r--+—r-
0c'Q� Off' Ar. to..
Address: 44 ECUADOR WAY
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
PropertyTax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 25' Back: 17'
Right Side: 16' Left Side: 16'
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 3 BEDROOM - 2 BATH - 1 1/2 GARAGES
Haamonai worK to De errormea unaertnis permit— check all apply:
W1HVAC E] Gas Tank ❑Gas Piping rn _ Shutters
Electric 0 Plumbing Sprinklers E Generator
Total Sq. Ft of Construction: 2,484
Cost of Construction:
QWindows/Doors
W1Roof
S Ft. of First Floor: 2,484
Utilities:Sewer Septic Building Height:
* R L �
CtJNTRACT4R:
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
it value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
MEN AL C•CINSTRU TION LIEN W INFORMATION:
DESIGNER/ENGINEER:. _ Not Applicable
Name: BRADEN&BRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: 417 COCONUT AVE.
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 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 our Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ST- /t;.�.�c,� COUNTY OF I -A, ca F
The forgo,g_g instr .Tent was acknowledged before me The forgoing instrument was acknowledged before me
this � fiay of Can Fx_ 20 l7 by this LCTUay of 20 17 by
4 cG W -/NIV 94-17MEW L Y y v,,•fe'
(Name of person acknowledging) (Name of person acknowledging)
010 � nqk- 4Pn /,PV" llol_�.
(Signature of.Nota Public- State of Florida) (Signature of Nota u/blic- State of Florida )
Personally Known _�R Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.EV
ROTHYASKIN Commission N 'nor A,•
nnROTHYANN
MYCOA4MISStON # GG 030145 MY COMMISSION # GG 030145Bonded Thru Notary Public Underwriters ;�P'� Bonded Thru Notary Public Underwriters
Revised 07/1
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