HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit N er__
ECEIVEED
a IF
Building Permit Applicat on JUL 5 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 10 MARGARITA
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 11'9" Back: 36' Right Side: 15'1" Left Side: 28'
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12X66
250OPSI - 4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work toe nprtormed under this permit—check a appy:
HVAC0 Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 792 S . Ft. of First Floor:
Cost of Construction: $ 1,663.00 UtilitiesInSewer 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
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -C • l.AAL rE COUNTY OF S 1 ]u c t c
The forgoing instru�t was acknowledged before me The forgoing instrument was acknowledged before me
this�cY`lay of .J Gt of 20 by th is�y ay of �`,c nl E 20_by
1'1/1 &-tom LyL� (��NN� f'l�f/�-7-7-��Z.0 LYC�� �J`fNl
(Name of person acknowledging) (Name of person acknowledging)
LL6��� t'c"44 aen�
(Signature of Notko Public-State of Florida ) (Signature of Notary, blic-State of Florida)
Personally Known J�OR Produced Identification Personally Known v/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ;•"1'P��-, DOI(�U8 ANNBASKIN Commission No. a .�v'• DOR NBASKIN
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MY COMMISSION#GG 030145 .c MY COMMISSION# 'G 030145
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%' :'r'ctiS•'• Bonded Thru Notary Public Menvriters ,Bonded ThN Notary Public Underwriters
Revised 07/15/201 -
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