HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,
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ALLAPI
Date; .
Plannir
2300 V
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(CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' L,
Permit Number:.. L4
SCAB
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-. Building Permit ApplicationPR:
and Development Services .. 1010:. .
Per .. 5
and Code Regulation Division m1�1ry9.De
linia Avenue, Fort Pierce FL 34982 st, Lucle it� ty ent
;772) 462=1553 Fax:. (772) 462-1578 Commercial. Residential X
PERMI APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
f Address 79.FLORES.DEL�NO°RTE
Legal De cription: EAST 1/2.OF SECTION:1-.TOWNSHIP-34S --RANGE 39E .
Propert� Tax ID #: 1301-11:1-0001-000-5 Lot No,:
i. I COUNTRY. CLUB VILLAGE
Name: Block No.
Pro'ect
Site Pla
l anie: ::�' r✓
Setbac Front:3l':- Back: 53' Right Side: -1T Left Side:: 16'
DETAI QED DESCRIPTION ,OF WORK:
SING FAMILY RESIDENCE (replacement home) = '3 BEDROOM -.2 BATH GARAGE
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CONSI,RUCTION INFORMATION;
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-A
itio
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al work to e ertormed. under t_ is'permit.— c. ec
AC - - " Gas Tank .: Gas Piping
ctric D' Plumbing . Sprinklers
:a app y;
Shutters
Generator
Q Windows/Doors-. :'
Roof'
Total Sq. Ft of Construction: 2;275
Cost of onstruction.' $ 58;000"
S . Ft: of First Floor: 2 275
Utilities. Sewer Septic Building Height:
OWNtR/LESSEE:
CONTRACTOR:
Name , ' NNE.BUILDING"DEPARTMENT
Name:- MATTHEV1l LYLE VVYNNE
Addres : 8000 SOUTH US.HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT. CORPORATION =.
City:- P RT ST. LUCIE .- . State: FL.
Address:.8000 SOUTH US HWY. 1 -SUITE 402 -
Zip Co e:.. 34952.:.. -Fax: (772) 878-7656
City: PORT.ST.. LUCIE State: FL.
Phone o: (772) 878-5513
Zip"Code: 34952 - Fax: (772) 878-7656
E-Mail)
Phone No.:(772) 878-551:3
- Fill in I e simple Title Holder on. next. page ( if different.
E-Mail,:.
from t e Ownerliste'd above)
State or County Licenser 08898
If value) f construction is $2500 or more, a RECORDED Notice of Commencement is required. ' '
SUPPL
DESIGP
:Name:
Add res
I_ City:, sT
Zip:. '34s
FEE Slh
Name:
Addres
:.city:
Zip: _
:MENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER/ENGINEER: Not Applicable
MORTGAGE.COMPANY:- _ Not Applicable-_
RRADEN & BRADEN.
Name:
417 COCONUT AVE.
Qddre$$;
ARTState: FL
City: State:
Phone:' (772)287-8258
Zip: Phone:,.
PLE TITLE HOLDER: ' . _Not Applicable
BONDING COMPANY:. _Not Applicable .
Name:
Address:
City:
Phone::'
Zip: Phone:.
I certify 'hat no work or. installation has.commenced prior to the issuance of _a permit.
St. Lucie EountV makes no representation that is granting a.permit will authorize :the permitholder to build the subject structure
which is j 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 -accord nce with :the approved -plans; the Florida Building Codes and St. Lucie. County. Amendments.
The folloll ing'build-ing permit: applications are exempt from undergoing a full concurrency review: room additions,
accesso I structures, swimming pools;.fences, walls, signs, screen rooms and accessory uses to another.non-residential use
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WARNI 4G TO:OWNER:.Your failure to Record a Notice of. Commencement may result inyour.paying twice for
improvements to your property. A Notice. of Commencement must be recorded and posted on the jobsite
before he first inspection. If,you intend to obtain financing, consult with lender or:an attorney before .
commencing work or recording vour Notice of Commencement.. / ..
S'ignatilre of Owner/ Lessee/Agent
STATE iQ F FLORIDA
COUNTY OF S—r - :
The forgoing instrument was acknowledged before me
this Nay of P-RA t [, 20 1Lby
person
(Signatu'i a of Nota P blic- State of Florida )
Personal�l� Known OR Produced Identification .
Type of Identification. Produced. t t!,_..!Ri -
o;`a ?yy.•% DOROTCHCccYAN BASKIN
Commis on No... ,z• `= YCOh1MI�� )#GG030145
EXPIRES: October 2,2020
Revis� 07/15/2014.
V S
.Signature of Contractor/License Holder
_STATE OF FLORIDA
COUNTY OF: AA c.c E
The forgoing instrument -was acknowledged before.me
-thiiseR.3_lay of A - PR Ic_ 20 by'
f��TJr�cv LY cE % you iu z
(Name of person. acknowledging)
(Signature of Not Public= State of Florida )
Personally Known ' OR Produced Identification
Type of Identification Produced .
Commission No. °C.` DOROTHYpY6SKIN
COMMISSI N # G. 030145
EXPIRES: October 2, 2020
REVIE
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ZONING
SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE:
COUNTER.:
REVIEW
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