HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Date: Awn )' 4rmit Number:
DIM
RECEIVED .
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Building, Permit Application JAN 2 5 2018
Planning and Development Services
Building and Code Regulation'Division 5T. Lucia County, PQrmltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial. Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Addressi' 5 GORDA WAY
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 15' Back: 15'
DETAILED DESCRIPTION OF WORK:.
INSTALL AN 8X8 HANDI HOUSE SHED
Right Side: 12' Left Sider 1_0'
Lot No..
Block No.
CONSTRUCTION INFORMATION:
Additional. wor to e nertormed under this permit— check
all
apply:
13HVAC
Gas Tank
Gas Piping
_Shutters
❑ Windows%Doors
Electric 0 Plumbing
[]Sprinklers
.Generator
E Roof
Total Sq. Ft of Construction: 64
S . Ft. of:First Floor: 64
Cost of Construction: $ 300.00
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Wynne Building Corp.
Name: Matthew Lyle Wynne
Address. 8000 South US Hwy. 1 Suite 402
Company: Wynne Development Corp.
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
&Mail:
from the Owner listed above)
State or County License: CGd03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement.is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ NotApplicable .
-Name: Braden & Braden
Name:'
Address: 417 Coconut Ave.
Address: '
City: Stuart State: FL.
City: State:
Zip: 34996 Phone:(772)287-8258
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:. 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 l 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 vour Notice of Commencement.
—cam— S.-
Signature of Owner/ Lessee/Agent Signature of Cbntracto License Holder,
COUNTY O.STATE OF F ,��AU/! (:i�, COUNTY OF STATE OF OR��' I� ti�` Q
The for oing instr ment was acknowledged before me The for oing inst�ryment was acknowledged fore me
this of day of QQ �i�, 20 acknowledged
this day of by'
,anhe-
of person acknowl gint) l
N V_ I
(Signature of Notary Public -State of Florida )
Personally Knowny bl
OR Produced Identification _
Type of Identification Pmd
�a Notary Public State of Florida
Commission No. +� Julie N,iA10
I+Ay Commission GG 038942
a. Expires 10/16/2020
Revised 07/15/2014
(Name of person acknowledging)
(Signa a of Notary Public- State f Flori.da )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. —r
tp Notary Public State of Florida
4 - Julie Ninassl
S - w T axplreS 101161202h
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