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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �o�'�/•/7 SCANNED Permit Number: I��• � "/ Y-� BY '_.._ _ -W St Lucie County Egg �E0 Building Permit Application 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 PERMIT APPLICATION FOR: Building P � • E ENT LO T ON: Address: 135 CALLE DE LAGOS Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E PropertyTax ID #: 1301-111-0001-000-5 Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front 35' Back: Right Side: 15' Left Side: 19' SC«RI ' ION C1F WE& SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE O F 70,107011 Additional work to e performed un er t is permit - c ec a apply: ❑✓— HVAC Gas Tank ❑Gas Piping _ Shutters ❑ 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: $-W*N A ' L[44_ Ntilities: 0_ Sewer E]Septic Building Height: WE WAY a hEN 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. XommNW&L C©Ngmuc IC}N um LAW 1NmftMAT1C•7N: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: BRADEN & BRADEN Name: Address: 417 COCONUT AVE. Address: City: State: City: STUART State: FL Zip: 34996 Phone: (772)2E7-8258 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 your Notice of Commencement. s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF S'T 1,.x., c re COUNTY OF r, l-Mc, 6- The forgoiri instrument was acknowledged before me The forgoot g instrument was acknowledged before me this /S day of 0eZe'rh -W 20 Eby this /S ' day of EX, 20 / 7 by M-4 11-�4gwj Lys lyy"i ti c 02A77 >'E7,) Lys y/'J AJF_ (Name of person acknowledging) (Name of person acknowledging) (Signature of N ry Public- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identificatiga, 4mj;e& �. Commission No. Revised 07/15/2014 X=4�" a=e2'_ — (Signature of Not Public- State of Florida ) Personally Known Type of Identifical DOROTHYANN BASKIN MYCOMM(UgN#GG030145 Commission No. EXPIRES: October 2, 2020 Bonded Thru Notary Public Underwriters OR Produced Identification DOROTH N fASKIN f COMMIS GG 030145 EXPIRES: October2, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE M _ COMPLETE INITIALS G� w