HomeMy WebLinkAboutBuilding Permit Application ALL"APPLICABLE_ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDYr�11
Date: Permit Number: . 11V�: E1 �
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Building Permit Application .
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: Other
PROPOSED IMPROVEMENT LOCATION.:
Address: 4 MAYA LANE
Legal Description SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.4
Site Plan Name: SPANISH LAKES ONE Block No.
-Project Name:
Setbacks Front 17'4" Back: 25' Right Side: 507' Left Side: 21-9" .
DETAILED.DESCRIPTION OF WORK:
DRIVEWAY - 58'X 12'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
[C6NST'RUCTION INFORMATION: �
Add itiona .wor "toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank []Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers D Generator Roof
Total Sq. Ft of Construction: 696 Sq. Ft.of First Floor:
Cost of Construction:$ 1,461.00 . Utilities: Ll Sewer Septic Building Height:
OWNER/LESSEE:. , CONTRACTORi4:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State:FL Address: 8000 SOUTH US HWY. 1 SUITE 402
Zip Code: 34952 Fax:(772)878-7656 City: PORT ST. LUCIE State:FL.
Phone No.(772)878-5513 Zip Code: 34952 Fax: (772)878-7656
E-Mail: Phone No. (772)878-5513,
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License 8898
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:' NO,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADEN&BRADEN Name:
Address:417 COCONUT AVE: Address:
City: STUART Stater FL City: State:
Zip: 34995 Phone: (7721287-9259 Zip: Phone:
FEE SIMPLE TITLEHOLDER: x_Not Applicable BONDING COMPANY:. Not Applicable
Name: Name:
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 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.
Inconsideration 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 your.Notice of Commencement.
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Signature of Owner/Agent/Lessee Signature of:Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. I. c.Lt COUNTY OF . - ccs
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`10"clay of R.uA-Aoy- 20 rf bythis day of 20—J7 by
f}Ti')#EW Gy L F y N N /� TrxFw L Yc E GJ YN;V
(Name of person acknowledging) (&Iame of person-acknowledging)
(Signature of Not4 Public-State of Florida) (Signature of Not r ;Public-State of Florida
Personally Known ✓/OR Produced Identification Personally Known it OR Produced Identification
Type of Identifica Type of Identificatioi-Produced
�OROTHYANNBASKIN
DOROTNy��AN BASKIN
Commission No. . MYCOMMISQ�I �G030145 Commission No. YCOMMI93i�� GG030145
EXPIRES: ctober U;2020 ate; EXPIRES:0 tobdr 2 2020
'!F?R i��P�, Bonded Thru Notary Publk Undervrtilers •:+,. o-�r
,111•�••, '•F0'F�F�•� Bo
Revised 07/15/2014
REVIEWS . FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE:
COUNTER REVIEW REVIEW REVIEW REV IEW- REVIEW -.REVIEW.
DATE
COMPLETE
INITIALS