HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S 1 I 1 Permit Number: t 50 5 , d 1°13
RECEIVED MAY 141015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
al
IMMMM11"
Address: 9 VISTA DE LAGUNA
Legal Description: EAST 1/2 OF SECTION 1 TOWNSHIP 34S RANGE 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.9
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front 24'8" Back: 45,9., Right Side: 14' Left Side: 14'
DRIVEWAY- 53'8" X 14'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
i IN
Additionalwor to e e ormed un er t is permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers E]Generator L1 Roof
Total Sq. Ft of Construction: 742 Sq. Ft.of First Floor:
Cost of Construction:$ 1,558.20 Utilities: Sewer 0Septic Building Height:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State:FIL 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 E-Mail:
from the Owner listed above) State or County License: 8898
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
NYAR
IName:
SIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
BRADEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 84996 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 m y apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform th work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exem from undergoing a full concurrency review: room additio s,
accessory structures,swimming pools,fences,wall ,signs,screen rooms and accessory uses to another non-re dentia)use
WARNING TO OWNER:Your failure to Re rd a Notice of Commencement may result in your pa ing twice for
improvements to your prope .A Noti of Commencement must be recorded and poste on the jobsite
before the first inspection u inte to obtain financing, consult with lender or att ney before
commencingwork or re our otice of Commencement.
A��/ Z-,,zl�"4 /
Signature of Own Ag t/L ss Signature of Co d is se older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-r. "-cr COUNTY OF 5, 1-m c.i E
The for$$o,ri g instrument was acknowledged b ore me The forgoi g instrument was acknowledged before me
this f �aay of I'I') 20 1 by this 1'/ ay of YY1 r9 20--Tby
1;9 4.7TW, e-w L v LE yN m e 12J,477-HC J L VC4--- t V yN/v c�
(Name of person acknowledging) (Name of person acknowledging)
)�I�±L O'V'� &-Z�
(Signature of Notad Public-State of Florida) (Signature of Not Public-State of Florida)
Personally Known DOROTHY ANN 8�+5RI1� Personally Known r
Type of Identification o0.1 �a Type of IdentificatrfR d DOROTH A ate o on a ,My C nm Expires Oct L,2016 4 ;: Notary Public-State of Florida
Commission No. :N» «e= al Commission No. = My Co.nm.(fooli)Oct 2,2016
Co r�csion #FF 015226 ;s+ *o;
Bonded Through National Notary Assn. of F Commission#FF 015226
rF o ,c
Banded Through National Notary Assr..
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS