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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: }unp� i�laii� i Permit Number: 1� I a, -()-? (-/ 0 A` R. Building Permit Application .QE%l 2 2017 Planning and Development Services Building and Code Regulation Division,",.,:; 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential X Address: 8 NUESTRA ISLA Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-111-0001-000-5 Site Plan Name: COUNTRY CLUB VILLAGE Project Name: Setbacks Front 40' Back: 15' Right Side: 26' Left Side: 15' Lot No._ Block No. SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE Additional work to be ertormea ZHVAC E] Gas Tank under tnls permit— cnecK all ❑Gas Piping apply: Shutters Q Windows/Doors ❑✓_ Electric 0 Plumbing E]Sprinklers El Generator W1 Roof Total Sq. Ft of Construction: 2,108 S . Ft. of First Floor: 2,108 Cost of Construction: $' ! J' Utilities. Sewer ElSeptic Building Height: Ela C© � A OR: Name WYNNE BUILDING DEPARTMENT Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US HWY. 1 - SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE State: FL 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. I DESIGNER/ENGINEER: _ Not Applicable Name: BRADEN & BRADEN Address: 417 COCONUT AVE. City: STUART State: FL Zip: 34e96 Phone: (772) 287-8258 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: 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 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 Con ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF / c eE COUNTY OF S'i L, c r t The forgoi,ng� instrument was acknowledged before me The forgoing instrument was acknowledged before me this /S 6ay of 1�)&-CC7 niSr X , 20 0 by this /S day of 1/F r_6;.m 60e , 20 17 by Mg-H-hen'i bar (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota ub/lic- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced LIC�44(n (Signature of Nota blic- State of Florida ) Personally Known OR Produced Identification Type of Identificatlnl�� D0R0T Commission No. 4. `:8;., COMMISSIONy BAS KIN Commission No. # GG 030145 EXPIRES: October2, 2020 Revised 07/1 DOROTHYANN B SKIN MY COMMISSI� 030145 EXPIRES: October2, 2020 Bonded rhru NotaN Ruhlir I In inn, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I a? INITIALS