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ALL APPLICABLE NFO JUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' -CG
Date:. . Permit Number: I
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Building Permit Application
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Planning and Development Services
St. Lucie
Building and Code Regulation Division
2300 Virginia Avenue,'Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 _ CorrIhlerCial Re'Sidential X
PERMIT APPLICATION FOR:
Other
PROPOSED IMPROVEMENT LOCATION:
Address: 6 INDIGO LANE
Legal Description:SECTION 26/TOWNSHIP 36s, RANGE 40e
I .
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.'
Project Name
-- Setbacks Front 11' Back: 22'8" Right Side: 19'5" Left Side 15'
DETAILED DESCRIPTION OF WORK: ('
DRIVEWAY.- 29 X 12'
250OPSI -4" THICKNESS. J
THE DRIVEWAY.DOES NOT,BUTT UP TO THE MOBILE HOME
ENSTRUCTION INFORMATION:
Additionalwork to be nertormed under this permit-check all appy:
HVAC Gas Gas Tank ElGas Piping _Shutters. d Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.-.Ft of Construction: 348 Sq. Ft.of First Floor:
. .
CmIt of Construction:$ 730.00Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402Company: 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. LUCIEState: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
Lf value of.construction is$2500 or more,a RECORDED Notice of Commencement is required,. '�
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not App_ licable
Name: BRADENBBRADEN Name:
Address:417 CocoNUTAVE. Address:
City: STUART State: Fl_ City: State:
Zip: 34996 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
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
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA / -�. STATE OF FLORIDA,
COUNTY OF LuGCOUNTY OF `}i�(�
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this day of 20 "?by
�1'la n tie__ n nt_
(Name of person acknowle g) (Name of person acknowl ging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known 7` OR Produced Identification Personally Known C ORI Produced Identification
Type of Identification Produced� Type of Identification Produced
Commission No. . J Commission No.
ter PUBS NctarY
Public Slate°f Florida p+W`Y°use Notary public State of Florida
udka r ^ Kerri Budka
Commissio PF 91v c My Commission FF 878543
Revised 07/15/2014 9` �9 of F`o�o Expires 0512512020 of no' Expires 05/25/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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