HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �y
Date: AUGUST 8, 2019 Permit Number: 1 -1
RECEIVED
Building Permit Application DEC 12 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St, LUCIe County
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: 73 EL CAMINO REAL
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
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Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 23' Back: 44' Right Side: 13'3" Left Side: 12'3"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 11X83
2500PS1 -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work to be, Dertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers FIGenerator Roof j
Total Sq. Ft of Construction: 913 S Ft.of First Floor:
Cost of Construction:$ 1,917.00 Utilities: Sewer Septic Building Height:
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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:FIL 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 recordin our Notice of Commencement.
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Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F ST.LUCIE CO U NTY O F ST.LUCIE
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 1) Fe &?"-9e'yt-, 2011by this X`Nayof D rgri»g&-x 20—Aby
MATTHEW LYLE-WYNNE MATTHEW LYLE WYNNE
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of No Public-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. _ Commission No. r ,:v{'••. DOROT" ASKIN
DOROT AA BASKIN i I yo OMMIS ION GG 030145
`•1�,•...d4 S
c= MY COMMISSION#GG 030145 ,r,�yg HXPIRES:October 2,2020
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Revised 07/15/ Gtj
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �