HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q
Date: Permit Number: so
Building Permit Application
Planning and Development Services
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 LOCATION:
Address: 35 NOGALES
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 232" Back: 29' Right Side: 15'6" Left Side: 15'4"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12X83'2"
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Aciclitional,worktobenerformedunder tis permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
L�Electric 0 Plumbing Sprinklers []Generator Roof
Total Sq. Ft-of Construction: 996 SFt.of First Floor:
Cost of Construction:$ 2,091.00 Utilities;li Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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
commend ng work or recording our Notice of Commencement.
Signature of:Owner/Agent/Lessee Signature of ontractor/License Holder
STATE OF FLOD,A �� STATE OF OUNTY OFORIM. L/ttu_
COUNTY OF ''CC��
The for ing instryyrrrt��e��nt wa acknowledged fore me The forging instru ent was cknowledged before me
this day of AD
DVe V_ 20 by this— day of � [�(' 20 by
bi )e- Lu n ne- -4 L� 244 )e h Pe-
Name ame of person acknowledge g) L (Name of person acknowledgin
LAI a�
(Sig ature of Notary Public-State of Florida) (Sig ure of Notary Public-State of Florida.)
Personally Known OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission'No. '� Wotary )state of Florida Commission No. Nory e� to of Florida
Julie iN nassi
My Commission GG 038942 F Julie Nlnassl
a Iasion GG 038942
Oa Expires 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-
I N ITIALS