HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL APPLICABLE 'INFO MUST BE COMPLETED FOR APPLICATION TO BE * ACCEPTED
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0
Perm :.'I.
Date? it Number
q.
RECEIVED..
[3
Sm. Luz
AUG-4.8-2018.,:
... Building Permit - . . .... 'Permitting Department
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::-P/a and Develo ment Services ..:.
nning.aP
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.Si. Lude.:County'
'B uilding and Code Regulation -Division
2300 Virginia Avenue, Fort Pierce FL 34982
'Ph tie: (772) 462_1553' Fax: (M) 462-1579 �:CdMmercial Residenti.A: X'
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a
PERMITAPPLICATION FOR:. Building
PROPOSED IMPROVEMENT LOCATION:
Address:-20.!VIONTOYA'
EAST 112 OF SECTIONA - TOWNSHIP-34S:- RANGE 39E-
Legal Description: . . . . . . . . . .
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16t. No:
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Property Ta 1301-111-0001-000-5
Site Plan -Nam 6: COUNTRY CLUB VILLAGE
Block No.
Project Name:
18'. Side:: 1.7'
Setbacks �Front:33` Right Side: .1T Left Back:
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_4 w X
DETAILED _DESCRIPTION ,OF WORK:
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SINGLE. FAm.['LY:kE81DENCE'(r'eplac'ement'ho'me).-BEDROOM -.2'BATH --GARAGE:-'2' E
I. NO -SLAB. WILL BE BUILT'OFF REAR -OF HOME
CONSTRUCTION INFORMATION:
Additional work to be ert rmed. under this permit.— check all =apply.
7 7E
nk rs
HVAC GasTa Gas-Pipinig Shutters - Windows ./Doo
Z Electric Generator' V . . . .
L—J
j
in g-: Sprinklers Roof."
Plumb'
::Total Sq..Ft of Construction: 2,108 Sq.,Ft. of First'Flo6r:- 2,1108'-.'
Cost cf:Constructiow: 58-000 Utilities-:- OSew6r . [A.Sdptit -Building Height:'
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OWNER/LESSEE:.
CONTRACTOR:
-Name W-YNNE BUILDING DEPARTMENT
Name:. MAtTH.EW LYLE.VViNNE
. Address: ' 9000 SOUTH US HWY. 1'SUITE 402
-Company: WYNNE D - EVELOPM . EN . T:CORPORATION
City:" PORT ST... LUCIE: State: FL.
Address: .8000 SOUTH US HWY. 17 SUITE :402:.
Zip ' Cod'- : .34952 FaX:-(772) 878-7656
City: PORT.$T.. LUC I.E' State -FL.
Ph6n6.No.'(772):878-5513
Zip Code.34952'Fax:- (772)-878-7656
:E-Mail: . . . .
Phone No.:(772) 878-5513.
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.Fill in fee simple Title Holder on -next page (ifclifferent'
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E--Mail:
from th6 Ownerlistedabove),
State or County License-, 08858:,.
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If val6e of construction is $2500 or more, a RECORDED Notice of Conimencem6rit is*req4ired.'
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;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable :
MORTGAGE. COMPANY: ..... = N.ot Applicable ..: .
Name:.BRADEN&BRADEN..
Name:.'
Address: a1ieocONUTAVE,
Address:
City:. &UART State: FL
Zip: -3asss Phone: (772)287-8258
City: State:
Zip: -Phone:
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FEE.SIMPLE TITLE HOLDER: _,Not Applicable
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BONDING COMPA_ NY:- , _Not Applicable :: _
Name:.
Name:
Address:.
Address:
City::
City:.
Zip:.. Phone::.
Zip: Phone:
.i certify -that no work orinstallation has .commenced -prior to the issuance of a permit.: . .
St: Lucie Counttyy-make's no representation that is granting a:permit will authorizethe 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 considerationof the granting of this requested permit,. I do hereby agree that l will, in all respects; perform the work
in accordance with the approved plans; the Florida Building Codes and St. Lucie: Cod rity.Amend ments.'
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 inspection. If.you intend to obtain. financing, consult with lender or:an attorney before .
commencing work or rkordin .: our. Notice of Commencement. .:
Signature of Owner/ Lessee/Agent
Signature.oi: Corltractor/License Holder. .
STATE OF FLORIDA
STATE OF FLORIDA'.������
COUNTY O.F T� Gc�
COUNTY OF �-7" : "e AE:
The forgQ"}'rig instrument was acknowledged before me
thisraay of (T' , 20 /�by
The. forgoing instrument was acknowledged before.me '
this /Y/aay of �JQ�t(,rr�t i 20 /t by
�%Ii5ocultf61
//�A 71'1�E�J �:�lL :GV YiviuC
(Name of person acknowledging)
(Name.of person. acknowledging )
(Signature of Nota ublic-State of Florida)
(Signature of Nota ubliic State of Florida )
Personally Known L/OR-Produced Identification
Personally Known - v OR Produced Identification
:Type of IdentificationProms
,,� , OOROTHY ANN f3ASKIN
Commission No .,r -, NIMISSIO(, SU030145
EXPIRES: October2, 2020
Thru Notary Public Undervrriters
Type. of Identification �P.rr.od�uc d4
rr+
,, < <,� DOROTHYAf����
Commission No. KIN -
:_ f7MMIvSION # GG 030145
%'� EXPIRES: Oclober2, 2020
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Revised 07/0/2014.
REVIEWS.
FRONT
ZONING
SUPERVISOR
PLANS
-VEGETATION
SEA TURTLE
MANGROVE.
' COUNTER.:
REVIEW
REVIEW •
REVIEW.-
REVIEW
REVIEW
'REVIEW.-...
DATE.
COMPLETE .
(INITIALS
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