HomeMy WebLinkAboutBUILDING PERMIT APPLICATION VOIDEDAL' L APPLICABLE INFO MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED
D,Iate: 1./��
.. SCAN PermitNumbe
d�9�0 .
St. Lucie C®vp� R'�
Karol M
ID
. . .
�1 Building: Permit ApplicatiocEz
AUG 0.2098
Planning and Development Services
Building and Code Regulation Division Pei"inlitl ���cl"�en
2300 Virginia Avenue, Fort Pierce FL 34982
I (hone: (772) 462-1553 Fax: (772) 462-1578 C0111rYlerClal X le �O r FL
.
P RMIT APPLICATION FOR:_ Other'
PROPOSED IMPROVEMENT LOCATION:
: A�•
-. 1 SILVER OAK DR.' .
ress.:
. .
Legal
De scriptiori:'.SECTION-26 / TOWNSHIP.36s, RANGE 406
I
Property
Tax ID #: 3414-501=1701-000/9 Lot No::
Site
Plan Name: SPANISH LAKES ONE Block No.
Pro
ject Name:
Setbacks
Front:48'10". Back: 30' Right Side: 30' Left Side: 30'
D;
TAILED DESCRIPTION OF WORK:.
CONCRETE
.. . ..
PAD - 28'X30'
2'kOPSI
- 4" THICKNESS
TH_
CONCRETE PAD DOES NOT BUTT UP TO ANYTHING .
CONSTRUCTION INFORMATION:
itiona .wor 'to e e orme . under this permit- c ec a apply:
CHVAC. Gas Tank Gas Piping Shutters Q Wind ows/Doors::
. _ ,.
ElElectric. D Plumbing Sprinklers EI.Gene.rator Roof
T'
�taI Sq:.Ft of Construction: 840 Sq. Ft. of First Floor:
1 764.00 0
C
. Septic Building Height:
lst of Construction: $ utilities: Sewer
OWNER/LESSEE
:.
CONTRACTOR:
Name WYNNE BUILDING CORPORATION . Name: MATTHEW LYLE WYNNE -
8000 SOUTH US HWY. 1 SUITE 402 WYNNE DEVELOPMENT CORPORATION
A . Company:
(dress:
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_._-
Pone No.' (772)-:878-5513 Zip Code: 34952 .:. ____—ram••• _(772)_R7R_7AC%
E'IMail: :_ Phone No. (772) 878-55i. _
:Fill in.fee simple.Title Holder. on. next page (if different &Mail:.-
frl`om the Owner. listed above) State or County License'
��
If value of -construction is $2500 or more, a RECORDED Notice of Commencement is required,
:. :.
'ff
SW.PPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE.COMP Y: .. X-: Not Applicable,-
N�me:
.
Name:
Andress:
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: .
Zip: Phone:
Zi Phone:
i'.
1 certify that no work or. installation has commenced prior to the issuance of a permit.
St:' Lucie Countyy makes 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 Znsideration of the granting of this requested permit, I do hereby agree that l will; in all respects, perform the work
in'aiccoMance 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,
ac. lessory structures, swimming pools; .fences, walls, signs; screen rooms and accessory uses to another -nonresidential use.
WARNING TO OWNER: Your failure.to Record a Notice of.Commencement may result in your paying twice for
i provements to yourproperty. A.Notice-of-Commencement must be recorded and posted on the jobsite
b rilfore the first inspection. If.y011 intend t0 Obtain Tina' sing, consult with lender or:an.attorney before'.
CU,,mmencin work or recordin Our Notice of Commencement. • -
Signature of Owner/Agent/ Lessee . Signature.of:Contractor/License Holder.
STATE OF FLOR Q STATE OF FLOR / t
COUNTY OF LliC COUNTY OF •: I Cl
TI ie for instr ent a a- knowl.edged efore me The for oing instr ent wa a nowledged efore me
this day of 20 10 by this day of 20 by
. -
(N me of person acknowledging[), (Name.of person.acknowledgin )
a4l�
(S'i Lure of Notary Public -State of Florida) (S t f N t P bl' St t f FI d )
Personally Known y OR Produced Identification
Type of Identification. Produced
Commission No. .: 0 Not4e.a6)IcState ofFlorida
Julie Ninassim.
My Comisslon GG 038942
. or
Revised 07/15/2014.
Li
g a ure o o ary u ic- a e o orl a
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. �I
a0tp� Notary �li tateofFlorida
Julie Nlnassl:
commission GG 038942
?oi Expires 19/16/2020 .
REVIEWS.
FRONT:
-ZONING
SUPERVISOR
PLANS
VEGETATION :
- SEA TURTLE _
MANGROVE
...
COUNTER-:
REVIEW
REVIEW:
REVIEW._
REVIEW
REVIEW
REVIEW-.: -
C�TE
. MPLETE
I
�ITIALS