HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 15 Permit Number:
RECEIVED MAY 14 2015
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 -
Address: 6158 SPANISH LAKES BLVD.
Legal Description: 6/7 34 39 ALL THAT PART LYING NORTHEAST OF 95
Property Tax ID#: 1306-111-0001-000-0 Lot No.6158
Site Plan Name: FAIRWAYS Block No.
Project Name:
Setbacks Front 11' Back: 20'8" Right Side: 61'10" Left Side: 26'3"
IlIM1111111 Till
DRIVEWAY - 44'3" X 14'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
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Additional wor to e oe ormed under this permit C ec all apply:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
U Electric 0 Plumbing []Sprinklers []Generator F] Roof
Total Sq. Ft of Construction: 616 S . Ft.of First Floor:
Cost of Construction:$ 1,293.60 Utilities:11Sewer OSeptic 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: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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADENBBRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FI- 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 per it holder to build the subject structure
which is in conflict with any a plicable Home Owners Association rules,bylaws of and co nants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for an restrictions which may apply.
Inconsideration of the grantin of this requested permit,I do hereby agree that I will,in all espects, perform the work
in accordance with the approv d plans,the Florida Building Codes and St. Lucie County Ame dments.
The following building permit a plications are exempt from undergoing a full concurrency re iew:room additions,
accessory structures,swimmin pools,fences,walls,signs,screen rooms and accessory uses another non-residential use
WARNING TO WNER:Y r failure to Record a Notice of Commencement may r ult in your paying twice for
improvemen s your pr perty.A Notice of Commencement must be q cord and posted on the jobsite
before the fi i spectio . If you intend to obtain financing, consult i lend r or an attorney before
commencing o k or rec rdin our Notice of Commencement.
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Signature of O ner/Agent/Lessee Signature of C/
ntrr License Holder
STATE OF FLO DA STATE OF FLORIDA
COUNTY OF r �.0 c.�f COUNTY OF S%• "c fG
The for o'ng instrument was acknowledged bore me The forgoi g instrument was acknowledged before me
this day of �'1 o4-r/ 20 20Aby this l Y I of �( 20__Ig'by
T r-He—W &Y[ E IJU'� /�C /I')A 7W fW Y C-E GV Y Ar nrC
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notay Public-State of Florida) (Signature of Nota ub/lic-State of Florida)
Personally Known_"-"'
OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identificatio � �.� - Type of Identifica
`Pay n�;'•
otPa+P a.,, DOROTHY ANN BASKIN :`�°; w`�; Notary Publi St a Of Florida
Commission No. ;2+ +°: Notary 18111W}State of Florida Commission No. = • * ct 2,2016
Co.nrn. Ear
My Cantu,Expires Oct 2, 2016 Commission#FF 015226
Commission
Bonded Through National Notary Assn.
Revised 07/15/ 0 ;
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