HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��, Permit Number:
4 _
RECEIVc
Building Permit ApplicationJUL 2 5 201$
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300.-Virginia Avenue,FortPlerce FL 34982
Phone:(772)462-1553 Fax:.(772)461-1578 Commercial Res r1WVi)p County,, FL
PERMIT APPLICATION FOR: Other
Address:' 15 MAYA WAY
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Ptoperty Tax ID#: 3414-501-1701=000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 167 Back: 23' Right Side: 16'10" LeftSide: 16'10"
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DRIVEWAY- 12'X75'2"
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
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itiona wor ,to' e pertormed under t is,permit—check kall appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors w
Electric 0 Plumbing ❑Sprinklers 11Generator ❑Roof
Total.Scl.Ft of:Construction: 900 S .Ft.of First Floor:
Cost of Construction:$ 1,890.00 Utilities: Sewer Septic Building Height:
OWNER/LES SEE zr y s 7 CONTRAGI"O.R F Tx _ M
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Name WYNNE BUILDING CORPORATION 4 Name: MATTHEW LYLE WYNNE
Address:800.0 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.
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DESIGNER/ENGINEER: x Not 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 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 cotenants 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 payingtwice 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
commencir work or recording 'our Notice of Commencement.
Signature of Owner/Agent/Lessee" Signature of Contractor/License Holder
STATE OF.FLO A ` STATE OF FLOR(\
COUNTY OF COUNTY OF t - �LQ Cly
The forgoing instrum nt as acknowledged,�gfore me The for ing instrum nt as acknowledge efore me
this day of 20 by this May of LA I IN 20 by
1 e- �-
(Name of person acknowledge: ( ame of person acknowledgin )
(Si r ature"of Notary7OR
-State of Florida) (Si ture o Notary Publi -State of Florida)
Personally Known Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No: Notary�IcstateotFiorida Commission No.
$ o, Notary,PublicStateofFlorida
JyNe fVlnassi = Julie Ninblic
sl
My Commission GG 038942
.q E*res 10/.16/2020, iX.O _Y y(j.UJb94Z
_Ypires 10/16/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS