HomeMy WebLinkAboutBuilding Permit Application A
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $ 10.1 } rj Permit Number: . O `35
-- 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. - -
PROPOSED IMPROVEMENT LOCATION:
:Address: 9 LCkS GATOS
Legal Description. SECTION 26./-TOWNSHIP 36s,.RANGE 40e .
Property Tax ID#: 3414-501=1701-000/9 Lot No::9
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 25'8" Back: 32'5" Right Side: '9" Left Side:_ 12'9"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12'X73'8'"
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT.BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
itona workto e orme under tispermit—check:a _appy:
: .0 HvAc Gas Tank []Gas Piping Shutters Windows/Doors
a
Electric 0 Plumbing _ ❑Sprinklers ❑.Generator Roof
Total Sq;Ft of Construction: 876 Sq.-Ft.of First Floor:
Cost of Construction:$ 1,839.00 . Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYNNE -
Address:8.000 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 Coder 34952 : Fax:(772)878-7656 City: PORT ST..LUCIE State.FL
Phone No.(772):878-5513 Zip Code: 34952 Fax: (772)87877656
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADENBBRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)297-8259 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 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 job to
-before the first inspection. if you intend to obtain financing, consult with lender or an attorney, bef
commencing work_or recording our Notice of Commencement.
Signature of OwnerjAgent�YLessee +Signature of Cont actor Licensekl'- erF�
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .5`1 fF COUNTY OF
The foxing instrume t was acknowledged Oore me The forgging instrument was acknowledged before me
this(irrday of S 20 lbby this day of �l-ctG-�e sT 20_jSby.
f�I�lrr 1 Ly�� INyNiue /' ` �TN�� C SiGE lit+wuNz
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nottr Public-State of Florida) (Signature of Nota ubl/ic-State of Florida)
Personally Known ✓ R r d e Id t' c io Oakersonally Known V O Produced Identification
Type of Identification Pr ucg uu� pnRnTNV ANN BASKIN ype of Identificatio, Prgdwce�
Notary Public-State of Florida sroaPaY pOe. f� BASKIN
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Revised 07%15%2014
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