HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi. . .
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ALL APPLICABLE-INFOI-MUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED
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� )� / J - Permit Numb
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K-Woms 10 1111 . . . . . . . . . .
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ilimilim 111111111111110. Building Permit'.Application
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. :.:...'NOY . _4.2018
.: -Planning :and Development Services . - ;
P e i l 1'l l tt l l'] g 'd G' p a rtM a n t
Building and Code Regulation -Division
. -2300+Virginia Avenue, -Fort -Pierce FL 34982 - '
St. LU de Co u nty, FL
Phone: (772) 462=1553: Fax:. (772) 4624578- .. -:COIY MerCial. . : R.
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PERMIT -APPLICATION .FOR:. Building
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PROPOSED IMPROVEMENT
LOCATION:
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:Address:
8 QUITO: :
/ C0 .
Legal
Description:. EAST 1/2.OF SECTION.1:-,TOWNSHIP•34S -RANGE 39E . .
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Property Tax ID #; 1301'-11:1-0001-000
Lot No:
COUNTRY CLUBVILLAGE
No.'
Site Plan Name:
Block
Project Name
-:Setbacks - :Front: Back: Back: 13'- - ' Right Side:.20' .Left'Side:: 13'
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DETAILED -DESCRIPTION. OF WORK::
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SINGLE. FAMI:LY RESIDENCE' (replacement home) :/BEDROOMS - 2'BATH°- 2 GARAGES
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NO SLAB. WILL BE BUILT HOME
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CO'NSTRUCTI'O.N INFORMATI,ON:.
Additional work.to . e e orme under
unert❑. is pe.rm--check:it.. a
Tank
apply.: ...
Q Wi.ndows/:D:
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�✓ Electric. ❑✓_-Plumbing
sZVACaPiping —
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oors•ShuttersGe;
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. /0-
Sprinklers Generator--.
Roof.':,.
:Total Sq:,Ft of Construction: 2;324 S . Ft: of:First Floor: - ,3
Cost o{ Construction: $ p2 �, . (oe� GYM Utilities:
- 1 . :.
SewerSeptic
Building Height:-
OWNER/LESSEE;,
CONTRACTOR:.:' .. 4
Name�NNE.BUILDING'DEPARTMENT
Name: MATTHEIN 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. 17 SUITE 402
ode:-345x:(772) 878-7656
C.
y.. .. e: FL. • .:. .
PORT.ST..LUCIEZip
772 878-5513
Phone.No: ( ):
34952- 772 878-7656
Zip.Code: Fax: (: )
E-Mail+
PHone'No.:(772) 878-5513
-Fill in.fee simple Title Holder on next.page (-if.different:
E-Mail: -
from the Owner listed above) -
State or County License: 08898 : : .
If value of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL'CONSTRUCTION LIEN LAW INFORMATION -
DESIGN ER/ENGI NEER: _ Not -Applicable ...
: MORTGAGE.COMPANY - .. Not Applicable-. .
.N6me:.BRADEN&13i3ADEN..' .:.. :.'.
Name:'
= Add ress: 417 COCONUT AVE.
Address:
City:. ISTUART State: '1 -
City: State:
Zip: 34996- Phone: (772) 287-8258
Zip:. Phone:: '
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FEE.SIMPLE TITLEHOLDER—:- .' _ Not Applicable
BONDING COMPANY:. _Not Applicable
Name:
Address:.
Name:
Address:
City:
City::
Zip:' Phone:.'
Zip; .., Phone:
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I certif that.no work or. installation has.commenced.prior to the issuance of a permit.:
St: Lucie County makes.no representation that is'granting a:permit will au.thoriie the 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 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 approbed plans; the Florida Building Codes and St: Lucie County.Ameridments.
The following'bu.ilding permit applications are exempt from undergoing a full con -currency review: room additions, .
accessory structures, swimming pools,: fences, walls, signs; screen rooms and accessory Uses to another.non=residential use.
WARNING TO:OW.NER: Your failure. to Record a Notice of. Commencement may result in.your:paying twice for
improvements to your: property.:A.Notice of Commencerrient must be recorded and.posted on the jobsite
before tlie.first inspection. if -you intend to obtain -financing, -consult -with lender or:an.attorney before.
comme ncing work or eecordin : our Notice of Commencement: .
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Signature of Owner/ Lessee/Agent Signature.of C6n
tnacro7r/License Holder .
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF :�T; �-.�.t:c (� COUNTY OF: 5T.
T
The forgoing instrument was acknowledged before me -The forgoing instrument was acknowledged before.me
this PE� day of e_1 O 6 efaz_ 20 �Lby 'this 9c) day of 0 CTO 6c'x, 20 by
(Name;of person acknowledging) (Name.of person. acknowledging)
(Signature of Not ublic-State of Florida) (Signature of Notar P blic= State of Florida )
Personally -Known OR -Produced Identification Personally Known ✓ OR Produced Identification
Type of Identific Type of Identificati erl
DOROTHYANN BASKIN n..
:.:OROTHY/N SKINcommission No. ; :: MYCOMMIS$IC(t➢#20P.030145 Commission No.COMMISSI �G030145
i a EXPIRES: October2,2020
Bonded Thin Notery PUbllc UndeNlhters
Revised Wi5M14
EXPIRES: October 2, 2020
_ . REVIEWS : - FRONT: ZONING ' SUPERVISOR_ PLANS VEGETATION': SEA TURTLE MANGROVE:
COUNTER.: REVIEW REVIEW:,REVIEW. REVIEW _ .REVIEW ..REVIEW... DATE -
COMPLETE
INITIALS