HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5d ILA I S Permit Number:
RECE!` 7111 MAY 14 36
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
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Address: 52 MEDITERRANEAN EAST
Legal Description. SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.52
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 25' Back: 50'6" Right Side: 19' Left Side: 30'8"
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DRIVEWAY - 54'X 14'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
All
itiona work to e e orme un er t is permit—check a appy:
HVAC 11 Gas Tank []Gas Piping _Shutters Q Windows/Doors
U Electric ElPlumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: 756 S . Ft.of First Floor:
Cost of Construction:$ 1,587.60 Utilities:Sewer ElSeptic Building Height:
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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:FL 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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: BRADEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34996 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 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 se
WARNING TO OWNER:Your failure to Record a tice of commencement may result in your paying ice for
improvements to your property.A otice of mmencement must be recorded and posted on a jobsite
before the first inspection. If yo tend to tain financing, consult with lender or an Orn before
commencing work or record' our No ' e of Commencement.
Signature of Owner/Agent/ ee Signature of Contractor License Holder
STATE OF FLORIDA rr STATE OF FLORIDA
COUNTY OF 5T- �.0 c r e COUNTY OF ,S�. � cc c
The forgo' g instrument was acknowledged b ore me The forgoi g instrument was acknowledged before me
this/ynay of Y'1 1 1+y 20 by this May of a A y ,20�by
In,-4-lWe-W Cys l.A)y,-jit s--TrtrEw CW-C wyti��
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not Public-State of Florida) (Signature of Not , Public-State of Florida)
Personally Known_OR Produced Identification Personally Knownii
0 Pign
Type of Identificat Type of Identificat7171.1:
eo DOROTHY ANN BASKIN
«`�: Notary Public-State of Florida
s. t\otary Pudic-,State of Florida
Commission No. 3 al Commission No. _ My Co.nn(Uoiit�s Oct 2,2016
y Co:gym. xpi es Oct 2, 2016 =." "aP: Commission#FF 015226
Commission#FF 015226 `„;°' Bonded Through National Notary Assn.
Revised 07/15 2014
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