HomeMy WebLinkAboutBuilding Permit Application I I
I I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: OZ0 1
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2360 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Other
162 MEDITERRANEAN NORTH _
Address: I
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 I ; Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 31' Back: 40' Right Side: 12'1/2" Left Side: 12,7,'
I i•
10W 4
k.
DRIVEWAY- 91X12
2500PS1 -4"THICKNESS '
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME I
._
Additional work to be Performed un a e r t h is:permit-c -e ck a I I t b at;appy:
HVAC I J Gas Tank Das Piping _Shutters a;;Windows/Doors
Electric ElPlumbing ❑Sprinklers Generator Roof
Sq. 1,092
1
Total S . Ft of 2,293Utilities,--n
S . Ft.of First,Floor:
Cost of Construction:$ Utilities: _Sewer Ll Septic BuildingHeight:
mp
w:
I h
x0 W"
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENTICORPORATION
i City: PORT ST. LUCIE State:FL Address: 8000 SOUTH US HW,Y. 1 SUITE 402
Zip Code:;34952 Fax:(772)878-7656 City: PORT ST.LUCIE ! ; State:FL
Phone No.(772)878-5513 Zip Code: 34952 I ;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 Liceni e: 8898;
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I i
j
i •
I
i
I
t. COQ
M
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADENBBRADEN Name:
Add ress:917 COCONUT AVE. Address: I
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)287-8258 Zip: Phone:, i
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: ! I Not Applicable
Name: Name:
Address: Address: I i
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit. {
L '
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 andd.covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any'restrictiohs 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 undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anoth''er non'-residential use
I '
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 orae attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Co tractor/I icense Holder
STATE OF FLORIDA &iu
STATE OF FLORIDA i, 'COUNTY,OF - � COUNTY OF L" u—L
i�
The foing instcu ent was ac no ledged before me The forgoing instru en t,I as a n ledged before m
this day of 20 by 1 this day of I 20_)A )
L1,121
Na 4�r o Lm �,o one- M �01 I �e_� /A�)A h h e—
(Name of person acknowledgin I. (Name of person acknowledging)
h t
(Signatb
,30 Notary Public-State of Florida} (Signature of otary Pudlic-State of Florida)
Personally Known Personally Known � R Produced;Identification
Type of Identification Pr NotNyPublic'StateofFlorida Type of Identification Prod e
u ie Ninassl 1 Nota
9 My mi Sion GG 038942 JUIN Notary Public State of Florida
Commission No. ,oma loops,
Commission No. "�i d p;r (EIA612020 or,fi�" EMicyires m'j lonG o369a2
/2020
Revised 07/15/2014 I '
Ii
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION :SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW iREVIEW REVIEW
DATE
i
COMPLETE
INITIALS
I
I { I
I I
I I ,
I ,