HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application SEP 2 b 2018
Planning and Development Services 5T: Lut;le ®IiflEy.; Permitting
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 LQ;CATIO,N �N,` �� ��s
Address: 17 HERMOSA
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 23'10" Back: 57' Right Side: 14' Left Side: 152"
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DRIVEWAY- 12-X59
2500PSI -4”THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
Additional work toe e orme under t is'perm►t—check a apply:
❑HVAC 11 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq..Ft of Construction: 708 S .Ft.of First Floor:
Cost of Construction:$ 1,486.00 Uiilities:tSewer❑Septic Building Height:
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 infee 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.
SUPPLEME_NTA_LrCONS 'RU
CTI`ON LEEN LAW INFORMATIQN
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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 certifythat'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 thepermit.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 acc6rdancewith.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 recorclihig your Notice of Commencement.
Signature of.owner Agent%Lessee Signature of Contractor/License Holder
STATEOSTATE OF JDA
COON OF FL .St. 6 Vii-. COUNTY OFO{ '� L t Gip_
COUNTY OF
The.f r 'ing instr e w s acknowledged hefore me The f r oing instrp nt wa acknowledged before me
this day of 20 .by this day of NO 20�0 by
e,
(Name of person acknowledgi ) (Name of person acknowled )
a14 1� �Aan�lk (21
(Si ureo NotaryPu/blit-State of Florida) (Sig ure o otary'Public-State of Florida)
Personally Known V' OR Produced Identification Personally Known ✓ OR Produced Identification
Type.of Identification Produced Type of Identification'Produced
Commission No. NVVt Mublic state of Florida ommission No.
Julie Nlnassi �taryput Edda
y, My Commission GG 038942 g JUlie Nlnassi
M commmslon GG 038942
or w +q« Eicpires
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS