HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �J a3 Permit Number:
RECEI VED MAY 2 3Map
20]7
__'----- - BuildingSCANNED
. Permit Application BY
Planning and Development Services
Building and Code Regulation Division St. LUCIP. (,1r)/jnrV
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION: III
Add ressi SPAN ISH LAKES BLVD.' NORTH OF INDRIO RD.
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
SPANISH LAKES FAIRWAYS MONUMENT G' k a0'
CONSTRUCTION INFORMATION:
itiona wor to e e Drme under
tispermit—checka
apply:
11HVAC 11 Gas Tank
❑Gas Piping
_ Shutters
❑ Windows/Doors
Electric D Plumbing
❑Sprinklers
Generator
L1 Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $a000.00
Utilities:llSewer D Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
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: CGC03569
it vaiue of construction 15 Szsoo or more, a RECORDED Notice at Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MAIDESIGNBUILD
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 395 STAN DRIVE SUITEB
Address:
.City: MELBOURNE State: FL
Zip: 32904 Phone: (321)757-3034
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 Court 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, 1 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
commencine work or recordine vour Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF_
,5+ It- VGLe,
The for oing instrument was acknowledged before me
this ardayof MetAl 201Zby
T—
STATE OF FLORIDA
COUNTYOF 5fLuc- Le —
The forgoing instrument was acknowledged before me
this o23day of Me 20 n by
I r lccff 1. 6le, ()uvtn.2- (l�,;c,'L1rt2rt) 1 "IC_ L. 14fine_
(Name of person ackn ledging) (Name of person acknowle ing )
(Signature of Notary Public -State of Florida ) (Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification Personally Known �X OR Produced Identification
Type of Identification Produuced Type of Identification Produced
cl Commission No. FF 9 79,3.7 (Seal) Commission No.F1c9*79V3) (Seal)
Revised 07/15/2014 °p+ Notary Public State of Florida,n. w Nolan Pubuc state of
: Kem Budka € Kenl Budka
•w C.ommtssbn FF 9785a3 Q My Commicsloo F F978543.
Exp
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