HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEt A V ED
Date: �a >� Permit Numb
Building Permit ApplicationPlanningand Development ServicesPertmenBuilding and Code Regulation Division t. , FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
°PROPQSED(NIPROUEMEKT LOCATION4�
Address: 27 MARIPOSA
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501=1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No:
Project Name:
Setbacks Front 30'2" Back: 36` Right Side: 16'8" Left Side: 12'1"
DETAILED DESCRIPT[OT, WORK N�
x ° w - t''€L _ �" �-.�e is
DRIVEWAY- 1.2'X907"
250OPSI -4"THICKNESS
THE DRIVEWAY DOES.NOT BUTT UP TO THE MOBILE HOME
��itiona�wor to�e a�ormetl un mer t lsrpermit—c ec a�*a14app}y.,�•� � �� �N��- �-
❑HVAC �Gas.Tank ❑Gas Piping _Shutters a Windows/Doors.
Electric' 0 Plumbing ❑Sp'rinklers Genetator Roof
Total Sq. Ft of.Construction:. 1,080 S Ft.of First Floor:
Cost of Construction:$ 21268.00 Utilities:11Sewer septic Building Height:
OWNER/LESSEE a.. ,. _. .to _ LCONTRACOR
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.
SUPPLEMEIVTAL;COIUSTRUCTION L`IEN�LAW INFORMATION � ��: � _ ` � ire t
DESIGNER/ENGINEER: XNot Applicable MORTGAGE.COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: FL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x—Not Applicable BONDING COMPANY: x Not Applicable
Name Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun��rr-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 FLORI 4A STATE OF FLO A
COUNTY OF , t Cts COUNTY OF
Thef oing instrum nt as acknowledged foThe forgoing insteum nt-was acknowledge efore me
thi day of C 20' lVre me by this_day of 20 by
(Name.of person acknow edg 'g) (Name of person acknowledging
(SiR*vre of Notary
'Public-State of Florida) (Sign re of Notary Public-State of Florida
/ )
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification PrType of Identification Produced
Public
Neta State of Florida
Commission No. Jutre tta3�sl Commission No.
My Commission GG 038942 Notary Public State of'Fbrida
a E*res 10116/2020: J.ullie Ninassi
ExpUri OM942 ires My
pires 10/16/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS