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BUILDING PERMIT APPLICATION
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: b ` I-l' IL'j. SCAB1NED. Permit Number: -LI—� St. Lucie County Building Permit Application "Planning and Development5ervices " Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 -Commercial Res PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 2 RIO DE PALMAS Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E 17iT172019, ST. Lucie County, Permitt Property Tax ID a: 1301-111-0001-000-5 Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front 27' Back: 23 Right Side: 24' Left Side. 13 DETAILED DESCRIPTION OF WORK; SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM - 2 BATH - GARAGE NO SLAB WILL BE BUILT OFF REAR"OF HOME CONSTRUCTION INFORMATION: ltiona wor to e e orme un ert is permit— cpecK all apply: [ HVAC Gas Tank . E]Gas Piping Shutters Windows/Doors Z✓ 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 utilities: 0 Sewer 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: 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: 08898 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: BRADENBBRADEN MORTGAGE COMPANY: Name: _ Not Applicable Add ress: 417 COCONUT AVE. Address: City: STUART State: FL Zip: 34996 Phone: (772)2e7.82e8 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: — 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 a permit. St. Lucie County makes no representation that is granting a permit will authorize She 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 reviewyour 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 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 commencine work or recordine vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF St-, The forgoing instrument was acknowledged before me this- dayof©GTo9tYZ .20 Llby -, S Signature of Contractor/License Holder STATE OF FLORIDA COUNTYOF s-r o/F The forgoing instrument was acknowledged before me this _ day of 20 _ by W,4t'*krLJ Ly GE %`l""J M)1771-1FW LYLE WYNnJt (Name of person acknowledging) I (Name of person. acknowledging) r� a'v'� ke;'-� (Signature of Not -Pub/lic-State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION # GG 030145 Revised 07/1511 = Sondedte�� (Signature of NotaVPublic- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced Commission # GG 030145 Undervmleis REVIEWS FRONT ZONING SUPERVISOR, PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS