HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL-+AP.PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 '
Date:_ Permit Number: - `�'
�tECETVE®
Building: Permit Application
. SEP.218
Plant ping and Development Services -.- ST.:-Lud County,. Permitting
Building and 'Code Regulation-Diwsion -- -
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462=1553 - Fax: (772) 462-1578 Com.rnerdal R..esid0ntIaI X .
PERMIT APPLICATION FOR: Buildiri
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PROPOSED IMPROVEMENT LOCATION: ��C.0 e r,6hnr 9
Aress: 41.GRANDE CAMINO WAY --
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{ EAST 1/2-OF SECTION- T- T.OWNSHIP34.S - RANGE 39E
Legal, Description:.
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Property Tax ID #; 1301-111-0001-000'5 : Lot. No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name: .
..
Setbacks . -Front 22�_ Back:56� Right Side: Left Side: 1,5'
DETAILED DESCRIPTION OF WORK:
SINGLE-FAMILY RESIDENCE.(replacement home) QBEDROOM : 2 BATH.- GARAGE
NO ILAB. WILL BE BUILT'OFF REAR OF HOME .. ..
CON4STRUCTION INFORMATION:
Additional.wor..to ewe orme under t is permit.— check- aqpp Y.
IL_ JI
HI VAC _ Gas Tank OGa.s Piping Shutters Windows/Doors.- -
Electric ✓Z.Plumbing . OSprinklers Generator' Roof -
Total Sq., Ft of Construction: 2;108 : S . Ft. of First Floor:. 2,:108
Cost of�Construction: $ D' S�. s`��.� Utilities: SewerSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE.BUILDINGDEPARTMENT -
Name: -'MA TTHEW 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 StatesFL. .
Phone.No. (772) 878-5513:
Zip Code: 34952 Fax: (772) 878-7656
E-Mail:l
Phone No. (772) 878-551.3
Fill in fee simple Title Holder. on_ next_.page (if different
' E-Mail:
State or County License: 08898.
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. _
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:,
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DESIGNER/ENGINEER: _ Not Applicable .
MORTGAGE COMPANY; _'N.ot Applicable . .
Na m e:. BRAbEN a akADEN..
Add ress: 411 COCONUT AVE. :
Name: -
Address:-.
dre s:
.City: S' UART' State: FL
City: State:
Zip: 34996 Phone: (772)287-e258
Zip: Phone::
FEE.SIMPLE
TITLE HOLDER: _ Not Applicable
BONDING COMPANY:. _Not Applicable
Nam
-
Name: -
ss.
Addr
City: I
Address:
City: .
Phone:
Zip: Phone'
Zip:.I
I certi v that no work or. installation has.commenced prior to the issuance.ofa permit. -
St: Lucie County makes no representation that is granting a;permit will authorize the permi'holder to build th.. subject structure
which is in convict 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 l will, in all respects' perform the work
in accordance With:the Approved:plans; the Florida Building Codes and St.' Lucie Courtty.Aineridments. :
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 another.non=residential use.
WARNING TO OWNER: Your failure. to Record a Notice of Commencement may result inyourpaying twice for
improverrtents 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
comet, encing work or recordin : our Notice of Commencement..
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Sign; ture of Owner/ Lessee/Agent = ' Sign attire, of:Contra ctor/License Holder.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O.F�i�Gr� COUNTY OF g-r _7 :
The fo,rgoi g instru 'ent was acknowledged before me The forgoing instru ent was acknowledged before.me
this ay of 7�+ LPL 20 l by this day of �CR7F.,IOL 20 1' 8 by
(Namejof person acknowledging) (Name.of person. acknowledging)
..
(Signature of Nota ublic--State of Florida) ' (Signature of Nota ublic- State of Florida )
Personally Known. ✓ OR Produced Identification - Personally Known OR Produced Identification
-_Type of Identification. ProducedType of Identifica '
P DOROTHYANN BASKIN - ' ti, ?`4'a DOROTHY. N B KIN.
MY_
Commission No s'^`•'r"'Y�Q•:.: Commission No. 1 99
MMISSIO��Eii� 030145 OMMI8SIvi; 030145
EXPIRES: october:2, 2020 r - ?� EXPIRES: Ootober 2, 2020
"ters =; ' Bo �netd Thn,
Revi ed 0711
REVIEWS FRONT: ZONING.. SUPERVISOR. 'PLANS VEGETATION SEATO RTLE MANGROVE:.
COUNTER'.. REVIEW REVIEW- REVIEW REVIEW- REVIEW REVIEW.,:..
DATE. I .
.COMPLETE
INITIAL
IS