HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONV
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ALL APPLICABL_ FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED % Q _
Date:.
' SCANNED Permit Number: / 0 (7
BY _
r < - St. Lucie County
Building Permit Applicati n
Planning and Development Services AUG 21 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Pjer. itt'n De artment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X sidentigUbe De art -
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 6200 NUEVO LAGOS
Legal Description: 6/7 34 39 all that part lying northeasterly of I-95
Property Tax ID #: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front113-42' Back:33' Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Pavilion to be built on a 10 x 20 concrete pad
CONSTRUCTION INFORMATION:
Additionai work to _ e e orme under this permit— check a apply:
OHVAC 0GasTank ❑Gas Piping _Shutters Windows/Doors
11Electric 0Plumbing []Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: 200 5 Ft. of First Floor: 200
Cost of Construction: $ 1,120.00 Utilities: Ft
OSeptic 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: FIL
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: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
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 whldh 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 approvedplans, 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/ Lessee/Agent
STATE OF FLOR91, L( � COUNTY OF OSTATE OF L� o CUL
COUNTY OF
The for ggi�ng ins
this— flay of
me
20
0 L14 12 wu n nL
(Name of person ackr
(ature of Notary)
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2C
OR Produced Identification
The f4�ing instr ment was Tknowledgedcbefore me
this day of s 20 0 by
(Name of person. acknowlequjdging )t
�ltt-L "l
(Si ature of Notary Public- tate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
of Florida { Commission No.
f038942 C{
of Florida
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