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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:���1�� SGAwNED PermitNumber:1�O6-d11q
BY RECEIVED
St. Lucie County
Building Permit Application JuN I) 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
ST. Woe County, Permitting
Commercial Residential X
PERMIT APPLICATION FOR:. Building — S F R
PROPOSED IMPROVEMENT LOCATION: 11
Address: 14518 DULCE REAL
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 .Front28' Back: 21' Right Side: 16' LeftSide: 16'
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
SINGLE FAMILY RESIDENCE (replacement home): 3 BEDROOM / 2 BATH/ 1 1/2 GARAGES
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION: _ III
Ir IHVAC Gas Tank
Z✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 2,484
Cost of Construction: $ 58,000
Piping UShutters ZWindows/Doors
nklers O Generator �✓ Roof
of First Floor: 2,484
Utilities: Sewer OSeptic 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: BRADENa BRADEN
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
zip: 3499e - Phone: (T72)2a7-825e
City: —State-
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify 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 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 accessoryusesto 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 Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 5'7. weer COUNTYOF Sr . IC.uCei.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3v day of YYt� 20 19bthisodayof 20 19 by
aiq•ttwew L leE Y.viy r i611477-W Ew LyGE GU yynNE - -
(Name of person acknowledging) (Name of person.acknowledging) - -
Qit.o� a R. a'� lscw lc -
(Signature of Notary' /lic- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
COmmISSIOn No. '1 ... DOROI A1�IBASKIN
MY CGMMISSTON # GG 030145
EXPIRES: October 2,2020
(Signature of Not Public- State of Florida)
Personally Known OR Produced Identification -
Typeofldentifica7737-,
�:� DOROTF�{��'ANN BASKIN 'Commission No.MY D61ROF3 AN BASKIN745
.�e' rve,.,.... _
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