HomeMy WebLinkAboutBuilding Permit ApplicationAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I 109 1()I I
• Sri/
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: 47 DEL PRADO
Legal Description: SECTION 26 / TOWNSHIP 36s, RANGE 40e
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name: SPANISH LAKES ONE
Project Name:
Setbacks Front 2l'8" Back: 265"
DETAILED DESCRIPTION OF WORK:
Right Side: 12' 1/2" Left Side: 12' 1/2"
DRIVEWAY - 12X77'8"
250OPSI - 4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit— check a apply:
[]HVAC E] Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers E] Generator Roof
Total Sq. Ft of Construction: 924
Cost of Construction: $ 1,940.00
S Ft. of First Floor: _
UtilitiesInSewer 0Septic
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
Address: 8000*SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
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
Phone No. (772) 878-5513
E-Mail:
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.
PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applica
Name:
Address:
Citv:
Zip: Phone:
State: FL
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 recordine vour Notice of Commencement.
r
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 9=. L.0 e it COUNTY OF _97 - �_" eir
The forgoing instrumen was acknowledged before me The forgo�iigg instrument was acknowledged before me
this - day of J l,� W � 20 by this �rday of CA nfC , 20-B by
14AM-wOLi Ly t- lil�i�N I IM A7;r S L Y C-6 1,A) Y .1 r v
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Not Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
is
Commission No.
Revised 07/15/2014
DOROTHYANN BASKIN
e COMmif%U # GG 030145
EXPIRES: October 2, 2020
-t-4- alw_�
(Signature of Nota P blic- State of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Prod - --- - - --
(- DOFt01'NYANN BASKIN
""? ION # GG 030145
Commission No. MYC����A��
EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwriters
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