HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.. . .. .... .. .... .. .... .. .. .... .. .... .. ..
ALL-AP-PLICABLE'INFO MUST BE COMPLETED FOR APPLICATION TO BE -ACCEPTED,
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Date! 1 r
Permit,Number:
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Building -Permit ,-Application..,:...-.*,VV,
Planning and Deveiopment Services
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-Building and Code Regulation -Division
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MO Virginia Avenue, Fart Pierce FL 34982 /e co arty
Phorip: (772) 462 155K, Fax:, (772) 462-1578 .:cbmrnertial. --ReSid6btibl:
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PERM rr-APPLI CATION FOR: SC;ANNW,.-:
Building M"
PROPOSED IMOROVEIVIENT LOCATION: --St Luclei C&I
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'-Add - - � - - 5-DANIZAR M
e
Legal Description: EAST 1/2 OF SECTION-1 - TOWNSHIP-34S -.RANGE 39E
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1801' 11: 1'000 1 -000'5
Property Tax IQ 'Lot, No
Site Plan Name: COUNTR/Y.CLUB VILLAGE'--;` Block No.
a
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Project)Name:
Setbacks :Front:31':'. Back: 20' Right Side: .1 2�'6'.' left Side:: 21'6"
DETAILED DESCRIPTION OF WORK:
SINGLE. FAMILY :RESIDENCE-fteplacem- enthom"e)-- 2 BEDROOMS-- 2 BATH -'GARAGE
NO -SLAB- WILL 'BE BUILT OFF -REAR HOME
1CONSTRUCTION INFORIVIATICIN:
-Aclaitional.worKto b rt ed: under this'permit—check-all thg apply: .7
orm
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Z H I VAC —GasTank G . as Piping -:1.JShutte.rS." Wi,ndo'ws/Qoo'rs.,:
Electric Plumbing . Sprinklers Generator%, Roof
-Z El 0,
7-
jotal 8d.Ft of Construction.: 2; 108 ..Sq,-Ft: ?f:F . irst: Floor':: 2,.108:
Cost of Construction:. $ 0 CC) Utilities Sewer Septic -Building Height:.
OWNER/LESSEE:
CONTRACTOR-.
: Name W.YNNE-buiLDINGbEOARTMENT-
Namei--MATTHEW LYLE WYNNE-
-Company: WYNNE DEVELOPMENT:CORPORATION
Add rest: 8000 SOUTH US HWY. 1 - - SUITE 402
City:- PORT ST. LUCIE State: FL
A dre:s:.8000 SOUTH US HWY. !:- S(JITE402:� r
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e Fax--(772) 878-7656'
ZipC6&� �34952':
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City:'PORTST. LUCIE State.'! -FL..--
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Phone -No. (772):878-5513'-
34952 Fax: (772) 878-7656
Zip Code:. X
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Phone:No. :(772) §78-5513. w
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F01 in. fe`.e.sjrnpI*eTi.t.1e Hold.ei, on. hextpage if different. j
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E71VIail:
from the 0 w-ner listed above)
State or County License.. 08898
If valueof.construction is$2500ormo.re,.a.RECORDED Notice of Commencement is required.
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i certi that.no work or. installation has.commenced:pri& to the issuance.of a permit.: .... .
St: Luci County makes no reprEsenfation that is'granting a:permit will authorizeahe permit holderao build the subject structure
which i in conflict with any applicable Home Owners Association rules, -bylaws -or -and covenants that-rnay.restrict or prohibit such -
structu e. 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
inacco dance with=:the"approved.:plans;:the Florida Building.Codes and' Si- Lucie. County.Amendments.-
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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 accessoryuses 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 m-ust be'recorded and posted on the jobsite
before the.f rst inspection. If-yo0htend to obtain financing, consult with lender or.an.attor-ney b6efore
comm Iencing w.Ork or tedotdink.:VoUt Notice of Commencement.::
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s..:
ture of Owner/ Lessee/Agent
Signature Contractor/License-Holder .
_Sign
STATE
Of FLORIDA :. :
STATEOF FLORIDA:. :.
COUNTY
OF .S?':. J -iu c �" :
COUNTY OF :9� "c i ... . .
The forgoing
instrument was acknowledged before me
-The forgoing instrument was acknowledged before me
this
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day of C7U .3e 20 Eby .
this day of �C Ta6c-72 ; 20 1. 8 'by
Y^ E._
(Name
bf person acknowledging). a
(Na me. ofperson.acknowledging )
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of No a Public -:'State of Florida)
(Signature of Nota ubl'ic- State of Florida )
(Signature
Personally
Known. v . /OR Produced -Identification ..
Personally Known ` OR Produced Identification
..Type of
Identificati
:.
Type of Identification
�?; °t' DOROT Y.ANN BASKIN .
` MY COMMI 10 GG 036145
No. •� ���
c er 2, 2020
)-MYcomM
# GG 030T45Commission
Commission No.EXPIRES
Bond6d Thru Notary Public Urldeiwriters
EXPIRtober2, 2020.
' : BOndetl Tutu Notary PulNk Undervrtilers