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BUILDING PERMIT APPLICATION
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �613d 1 ti SCANNED Permit Number: BY � St. Lucie County RECEIVED Building Permit Application OCT 3 0 119 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553' Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building - I III Address: 17 AZUL Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S - RANGE 39E Property Tax ID #: 1301-111-0001-000-5 Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front 36'. Back: 22' Right Side: 17' Left Side: 15' [DETAILED DESCRIPTION OF WORK: i / (/ - III SINGLE FAMILY RESIDENCE (replacement home)- 2 BEDROOM - 2 BATH - GARAGE - NO SLAB WILL BE BUILT OFF REAR OF HOME N INFORMATION: eluwuUuai WU In w ua nwnueu wivaJ uua Nei I III l—uieLn all apply. OHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors ✓ Electric ❑✓ Plumbing []Sprinklers Generator Roof Total Sq. Ft of Construction: 2,108 �� S Ft. of First Floor: 2,108 Cost of Construction: $ 58,000 Utilities:'nSewer oseptic 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) 878-765& 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: BRAOENBBRADEN MORTGAGE COMPANY: Name: _ Not Applicable Address: 417 COCONUT AVE. Address: City: STUART State: FL Zip: 34996 Phone: (772)2e7-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 a permit. St. Lucie County makes no representation that is granting apermit will authorize -the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or antl 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 s _ Signature of Owner/ Less a/Agent Signatu�ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF ST i e eelG COUNTY OF <T k4ctZ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this dayof�i'6'b32✓t- .20 Lby this oZldayof ©CM,&e_X—,20 f9 by MAT-yeV LdcE wY,.rNe MAIM" Lyt'g 60YNN&' (Name of person acknowledging) (Name of person acknowledging) %,Q Gv� tscl� L. Zao-�, Signature of Nota ublic- State of Florida ) (Signature of Notary P c- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known _4 OR Produced Identification Type of Identification Produced I Type of Identification Produced Commission No. MY COMMISSION # GG 030145 Revised Commission No. MY COMMISSION # GG 030145 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1 COMPLETE III lU INITIALS PI