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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 10 BE ACCEPTED Date: Permit Number: q� - (05C d RECEIVED NOV 2 7 2018 Building Permit Application' ST, Luti® County, Permll Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building 'ROPOSED IMPROVEMENT LOCATION: 701 Address: 68 LAGOS DEL NORTE Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-111-0001-000-5 Site Plan Name: COUNTRY CLUB VILLAGE Project Name: / i i Setbacks Front29' Back: 13' Right Side: 15, Left Side: 35' DETAILED DESCRIPTION OF WORK: Lot No. Block No. iI-Ja SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 1/2 BATH - 2 CAR GARAGE v NO SLAB WILL BE BUILT OFF REAR OF HOME I CONSTRUCTION INFORMATION: III ❑✓ HVAC LJ Gas Tank Z✓ Electric ❑✓_ Plumbing Total Sq. Ft of Construction: 2,485 Cost of Construction: S 58,000 . 33; C63. 7S l ilt_MIU�Nmi mapply. Piping _Shutters 21 Windows/Doors nklers ❑ Generator 21 Roof S Ft. of First Floor: 2,485 Utilities:t Sewer O Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING DEPARTMENT Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US HWY. 1 - SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION City: PORT ST. LUCIE State: FIL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 Address: 8000 SOUTH US HWY. 1 - SUITE 402 City: PORT ST. LUCIE State: FIL Zip Code: 34952 Fax: (772) 878-7656 Phone No. (772) 878-5513 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) EWail: Stote or County License: 08898 If value of construction is $2500 or more, a RECORDED Notice of Cornmencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INF DESIGNER/ENGINEER: _ Not Applicable Name: SRADEN&SRADEN Address: 417 COCONUT AVE. City; STUART State: FL Zip: 349% Phone: (772)297-e258 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: TION: MORTGAGE COMPANY: Not Applicable Narne: Address: City; State: Zip; Phone: BONDING COMPANY: Name: Address: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable St. Lucie County makes no representation that is granting a permit will authorize 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 I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST. {wcir COUNTY OF ST k" Lir The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of NO✓�7m6EK, 20 Lby thisLdayofNayrrn6o7G ,20 Eby &A21-Neu) 6Ycr 14%'/NAJE i"WAIr1riEw LYGE LUYNN� (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary blic-State of Florida) (Signature of Notarylic-State of Florida ) Personally Known OR Produced Identification Personally Known v/OR Produced identification Type of Identification Produced Type of Identification Produced Commission N Doftornxn ���� Commission IN 'I .° .... 10 OTHYANN§0111 p• • MY MMISSIO N 030145 x' MY COMMISSION N GG 030145 *z!-. a EXPIRE&.Octauer2,2020 �`•i i,•_MYN_. •�s� CY0I0CQ•l1wInM,90Mn Revised 07 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I INITIALS ��1r711m