HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.... .. .... .. .... .
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE ACCEPTED
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_Daib: Permit Number: N-lC
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RECEIVED
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$'E P. 8:. 2 a 18.
Building Permit �Application.., ... .. .... .. .
ST
Lucie County; Permitting_
fqn�in4and Development S'ervices'
-BuildinO and -Code Regulation -Division
..,2300 Virginia Avenue, Fort Pierce FL 34982-.
Rhoe, (772) 4045.53 - Fax, (172) 462-1578' :C6mrhertial' -.'-ReSidi .nti.61: X'
g
U ' AN
PERMIT APPLICATION -FOR::' B'ildin-
NED
PRO POK6. IMP ROVE M* ENT LOCATION:
"Pow
:Address:- 32-FLORES.DEL .NORTE -
'legal Description:. EAST 1/2-OF. SECTION. 1:.-- TOWNSHIP -349 -.RANGE 39E.
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Lot No:
130-1 -111 -0001 -000'5
P.rope. ty Tax I D #:
Block No."
Projedi Name:COUNTRY CLUB'VILLAGE'-
Site, rian-Naing: . . . . . .
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3 1 1518 ft'S'de:: 12!4 .:8et'backs Tront Back:* 18 Right Side: Le i
J.'DET-AIL'ED-"-.1),E'SCRIPTION,OF :WO.R'K:,'-.
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SINGLE FAMILY.kESIDE N-CE .(r'eplac-em-'ent:hom*e)-�B'EDROOM - 2 BATH" -:GARAGE
NO SLAB WILL BE BUILTOFFREAR Or HOME
.CONSTRUCTION WFORMATION:
Additionalwork t b rf Ms'p�ermit che&:511�= ,9V�e prme un er apply;
w
Gas Tank Gas Piping Lj '
nk
VAC. U s _Shutters..' Windows/Doors
ZElectric Z'P'Plumbing Sprinklers Generator`- . Roof
Jotal Sq., Ft of Construction: 2 108 S Ff. of First:Flo 2,408':
or e s
0 'a _-Septic - - -Building Heigh�t:-
.tostof,,Construc�i Utilities: Sew6r
OWNER/LESSEE:-
-WNTRACTOR!,
Name BULDING-bEPARTMENT
Name'- WATTHEW LYLE WYNNE-
Address: 8000 SOUTH US HWY. I.- SUITE 402
-Company: WYNNE DEVELOPMENT: CORPORATION.
City:PORT ST. LUCIE--.. State:FL..
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Address:. 8000 SOUTH US HWY. 1 SUITE402
-Fax?(772) 878-7656'
Zip C6de-....34 .
CIty:'PORT.ST. LUCIE' e. FL...
(M):K8-5513-
z .34952 Zip Co&� Tax:1772)-878,7656
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:E-Ma.il:
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-Phone :No. �(772) P78-5513
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-Fi.11 in. fee simple Title -Hold.er on. next- page (if. different.
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E-Mail:
from the Owner'listed above)
State or County License:* 08898
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If value'of construction is $2500 or more, aRECORDEP Notice -of Corrimencement.is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: : _ Not -Applicable'
= MORTGAGE COMPANY;- .. _ _ Not Applicable- ..: .
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: Name:. BRAbEN & BRADEN
Name:
Add ress: 417 COCONUT AVE.
Address:
City:. sTUART" State: F�
City: State:
Zip: 34996' Phone: (772)287-8256
Zip: Phone::
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: FEE:SIMPLE TITLE HOLDER: _Not Applicable
BONDING COMPANY:. _Not Applicable
Name:.
Name:
Address:
Address:
City:1 ..
city:
Zip: Phone:
Zip: Phone::
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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:p"ermit will authorize the permit -holder to build the subject structure -
and that such -
which is in conflict with any applicable Home Owners Association rules,.bylaws or, covenants -may restrict orprohibit
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 -approveci plans; the Florida Building Codes and St. Lucie County Amendments.
The following building permit. applications are exempt from undergoing a full concurre.ncy review: room additions,
accessory structures, swimming pools.: fences, walls, signs,' screen rooms and accessory uses to anothernon=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.' I'f.you intend to obtain financing, consult with lender or an attorney before:- .
commencing work or ret rdin : oUt Notice of Commencement...
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Signature of Owner/ Le see/Agent
Signat.Ure.of Contractor/License-Holder. -
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY O.F��%'[ rF
::..
COUNTY OF
The forgoing imtru ent was acknowledged before me
-The forg�o�i g instrument was acknowledged before.me
�l��gE�, 20 by
this ��9ay of �7� 20 L—by
this�'day of _
f/77�i'%-ZJ L E- : b `//U iu:G
(Name of person acknowledging)
(Name of person. acknowledging)
(Signature of Nota Oublic- State of Florida)
(Signature of Notary, blic= State of Florida )
Personi ally Known. OR Produced Identification
Personally Known . . OR Produced Identification
Type of Identification Produced
Type of Identif'
,;: ;P" , DOROT BASKIN
Commission No.' �t4.
# GG 030145
DOROTHY ANN BASKIN
Commission N MYCOMMIBSION#(�@�3)145
Y COMMISSTOTJ
,.� rap EXPIRES: October 2, 2020
rF EXPIRES, October 2; 2020
%;F tt':�a 9ondytl.Thru Notary Public Under4rtiters
lotB t .
Revised:07/15/.
REVIEWS:
FRONT:
ZONING..
SUPERVISOR
PLANS
-'VEGETATION
SEA TURTLE
MANGROVE:
COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW.
.REVIEW..--•
DATE
ID
COMPLETE