HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE- INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 " fy Permit Numb
SCANNED
EN &
Building Permit Application
Planning and Development Services
-Building and Code Regulation -Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-
PERMITAPPLICATION FOR; Buili
PROPOSED IMPROVEMENT LOC/
Address: 22 LAGOS DEL NORTE
Legal Description- EAST 1/2 OF SECTION
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Property Tax ID #: 130.17111-0001-000-5 .
Site Plan -Name: COUNTRY CLUB VILLAC
Project Name:.
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-Setbacks Front 34'. Back: ?6'
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Commercial
ig
ION:
1 - TOWNSHIP 34S - RANGE 39E .
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Right Side: 24' Left Side: 20' -
RECEIVED..
Pk' 11 '2018
Permitting Department
�,�St +k4� e County:, FL
Lot No..
Block No.
DETAILED DESCRIPTION OF WORK:
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SINGLE FAMJLY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE'
C1
1.
CONSTRUCTION INFORMATION:
Additional.work-to be nertormedi under
Z✓ HVAC Gas Tank
�✓ Electric_ ✓❑_ Plumbi g
Total Sq..Ft of Construction: 21108
Cost of Construction: $ 58,000 .
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s permit— cnecK:all mat apply:
Gas Piping Shutters Q Windows/Doors
]Sprinklers O.Generator g Roof
S . Ft: of First -Floor: 2,108
Utilities: SewerSeptic Building Height:
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OWNER/LESSEE:
CONTRACTOR:
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
City: PORT ST. LUCIE State: FL
.Zip Code: 34952. Fax: (772) 878-7656
Phone No. (772) 878-5513
Zip Code: 34952 Fax: (772) 878-7656
E-Mail: I
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 08.898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LI'EN' 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 I.
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Zip: Phone:
FEE SIMPLE TITLE_HOLDER: _ Not Apblicable
BONDING COMPANY: _Not Applicable
Name:-
Name:
Address:. I
Address:
City: l
City:
Zip:. Phone:
Zip:. Phone:.
I certify that no work or installation has.commen�ed prior to the issuance of:a permit..
St. Lucie County makes no representation that is granting a permit will authorise 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, wells, 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 Notl e. 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.
i - s . .
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA ) STATE OF FLOW -
COUNTY OF �' � . � � COUNTY OF . --Fr[ % CI�Q
The f oing instr, tr s acknowledge (fore me The forgoing instr nt)ru s acknowledged fore me
this day of 20 Nby this _!�_- day of 20 by
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P.
(Name of person acknowledging) 1. (Name of per�on.acknowlpdgin )
v�v � • `•-times
(SigkAure of Notary Publ -- State of Florid;
Personally Known .OR Produced -Id
Type of Identification Prod .
P4Not
Commission No. ?° �� Jule
; CTv my C,
''+or Expin
Revised 07/15/2614
(.Slgn6Are,of NotaryPublic- State of Florida )
cation Personally Known . (`�/ OR Produced Identification
Type of Identification Produced
State of Florida
sI - Commission No. e I
:ion GG 036942
Notary ub c. tate of Florida
;Q ; Julie Ninassi
6/2020 a
or n Expires 10/16/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER: -
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW '--
DATE -
COMPLETE
INITIALS.
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