HomeMy WebLinkAboutPERMIT APP - 15 KACHINAALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AUGUST 8, 2019 Permit Number:
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
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 15 KACHINA
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 13' Back: 20'6"
Right Side: 16'4" Left Side: 12'6"
x
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: :III
DRIVEWAY -12X58
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Aa
bona work to Bee orme under tispermit—checka apply:
DHVAC E] Gas Tank OGas Piping _Shutters 0 Windows/Doors
11 Electric 0 Plumbing []Sprinklers 0 Generator E]Roof
Total Sq. Ft of Construction: 696
Cost of Construction: $ 1,461.00
S Ft. of First Floor: _
Utilities:0Sewer 1:1Septic
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
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
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
from the Owner listed above)
E-Mail:
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:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone:
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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
Signature of Owner/ Agent/ Lessee Signa_
STATE OF FLORIDA
COUNTY OF ST. Lucie
The forgoing instrument was acknowledged before me
this .21 day of /4-e/ &c4Ii 7' . 20 1± by
MATTHEW LYLE WYNNE
(Name of person acknowledging )
STATE OF FLORIDA
COUNTY OF Sr. LUCIE
Holder
The forgoing instrument was acknowledged before me
this_-*3day of L1ct[Le4s'T .20_¢ by
MATTHEW LYLE WYNNE
(Name of person acknowledging )
\) a
(Signature of Nota ublic- State of Florida ) (Signature of Not 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 N :��OTHYA($P&A);KIN Commission No. •'"""•°!to ORO7Hy
!" MY COMMISSION#HH045443 '. MYCOMMISSI B SKIN
evoiocc.MmFn.0 0me CCOMMI COMMISSION
Revised
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SUPERVISOR
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