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BUILDING PERMIT APPLICATION
r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cf cr Date: o�a�� �� ; ' Permit Number: 1 `6i6 5 D RECEIVED Building Permit Application JAN 2 8 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, P©rmltuntl 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 14495 CANCUN 9t. �tlaie fie` Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95 Property Tax ID #: 1306-111-0001-000/0 Site Plan Name: SPANISH LAKES FAIRWAYS Project Name: Setbacks Front 30' Back: 16' DETAILED DESCRIPTION OF WORK: Right Side: 18' Left Side: 16' Lot No. Block No. SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE NO SLAB WILL BE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: I HVAC OGasTank ❑Gas Piping IJ Shutters ✓QWindows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 2,108 Sq �Ft. of First Floor: 2,108 Cost of Construction: $ 58,000 a s'�/Ot > Utilities: I]Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING CORP. Name: MATTHEW LYLE WYNNE Address: 8000 SOUTH US HWY. 1 SUITE 402 Company: WYYNE DEVELOPMENT CORP. City: PORT ST. LUCIE State: FL 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: FL 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) E-Mail: State or County License: CGC03599 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: BRADENaBRADEN MORTGAGE COMPANY: Name: _ Not Applicable Address: 417 COCONUT AVE. Address: City:-STUART State: FL Zip: 34996 Phone: (772)287-e258 City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of permit. 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 commencirla work or recordine vour Notice of Commencement. .. _ c--�� s _ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Ste. 1, cr � COUNTY OF � . )_U c. rE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisZ day of TA, N u #or" , 20 Lby this 7'�'day of Sit is u A r. y , 20 j by /)IR-&He7W L-/LC W` /uN6' `nr 7TN&_1,0 LYLC JA)Y/uNE (Name of person acknowledging) I (Name of person acknowledging) State of Florida ) Personally Known V"' OR Produced Identification Type of Identification Produced Commission Revised 07 (Signature of Nota ubiic-State of Florida) Known ✓OR Produced Identification Type of October2, 202045 II Commission No. 070145 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS