HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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tt6- �nTl\1 Permit Number: _III 1d��Os�Oo�
RECEI', .0 JUN 26 2917
Building Permit Application SCANNED
longing and Development Services BY
uiidisig and Code Regulation Division Lucie COUnf,�
300 Virginia Avenue, Fort Pierce FL 34982 `7
,hone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
ERWIT APPLICATION FOR: Sign
RpPOSED IMPROVEMENT LOCATION:
ldre$5:ISPANISH LAKES BLVD. , NORTH,OF INDRIO RD.
,gaj Description: 6/7 34 39 all that part lying northeasterly of 1-95
roperty Tax ID #: 1306-111-0001-000/0 Lot No.
ite Plan Name: SPANISH LAKES FAIRWAYS Block No.
Name:
roject
ietbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
SPANISH LAKES FAIRWAYS 4'X5'10" DIRECTIONAL ENTRANCE SIGN
CONSTRUCTION INFORMATION:
itiona wor to e ertormed under tispermit—check all apply:
:jHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
IElectric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S'c Ft. of First Floor:
Cost of Construction: $ 2,000.00 Utilities:Sewer E Septic Building Height:
pWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Company: WYYNE DEVELOPMENT CORP.
Address: 8000 SOUTH US HWY. 1 SUITE 402
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
city: PORT ST. LUCIE State: FL
Zip Code: 34952_ Fax: (772) 878-7656
Phone No. (772) 878-5513
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
E-Mail:
State or County License: CGC03599
from the Owner listed above)
livalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name- MAIDESIGNBUILD
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 395 STAN DRIVE SUITE
Address:
City: MELBOURNE State: FL
Zip: 32904 Phone: (321)757-3034
_
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 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
WOM Or recording your IVOLIce Or L.Ommencement.
S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �k ty(f COUNTY OF st— LVL(Z
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this ,;Vp day of \J C'_rJe_ 20 f2by this day of oTt r/t2_ 20 17 by
YYIt+-H cf� �ulr_ Wail ne, MOL-RA r t"
(Name of person ackhdwiedging (Nameof person ackno ging )
(Signature of Notary Public -State of Florida j (Signature of Notary Public- State of Florida j
Personally Known __)6—OR Produced
Type of Identification Protk%ed+S/tiI
Commission
Revised 07/15/2014
Known 7- OR
Type of
978543 %Commission
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS