HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 15d 1--0.13 1�;.
RECEV '-D AUG 10 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. ReSlderltlai X .
PERMIT APPLICATION FOR::-
Other.. =
PROPOSED IMPROVEMENT LOCATION:
Address: 15 HERNANDO LANE. .
Legal Description:.SECTION 261 TOWNSHIP 36s, RANGE 40e .
:Property Tax ID#: 3414-501=1701-000/9 Lot No,:15
Site Plan Name: SPANISH LAKES ONE - BlockNo.
Project Name:
Setbacks Front 26'6 Back: 26'3' Right Side: 12'1. Left Side:- 12'1"
DETAILED DESCRIPTION OF'WORK:.".
DRIVEWAY-- 12'X 64'6
2500PS1 -4" THICKNESS.
T.HE-DRIVEWAY DOES NOT.BUTT UP TO THE MOBILEHOME
-CONSTRUCTION INFORMATION:
itiona wor to e e orme -under tispermit—c ec .a appy:
EIHVAC Gas Tank E]GasPiping _Shutters aWindows/Doors
Electric, O Plumbing . Sprinklers 11 Generator Roof
=Total Sq..Ft of Construction: 768 . Sq. Ft.of First Floor:
Cost�of Construction::$ 1,612.00 . Utilities: Sewer Septic Building Height.
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION Nam- e: 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. 349.52. -,Fax-(772-)878-7656 . City:'PORT ST..LUCIEState:FL,
Phone No.(772).878-5513 Zip Code: 34952 Fax: (772)878-7656
E-Mail: Phone No. (772)87875513
Fill in.feesimple 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)287-8258 Zip: Phone::
FEE SIMPLE TITLEHOLDER: 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or n attorney before
commencing work or record!peour Notice of Commencement.
Signature of Owner['Agen%L Signature-o "C6n actor i ee-95enTbld/ 1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_S7 , `.0 c 16 COUNTY OF ST " G-ttF
The for oing instrument was acknowledged bre me The forgoing instrument was acknowledged before me
this& day of A"k Q7 US r' 20 1'� by this day of )44( G--u s Jr 20_irby
1.14 T77#EL.> L yL 1 LQ cl N n/ j��4 ? E-7�1 L Y C E GJ V^) X
(Name of person acknowledging) (Name of person.acknowledging)
(Signature of Nota Public-State of Florida) (Signature of NotOy Public-State of Florida)
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identific Type of Identificatio rc3d =d' 26 aJ,, DOROTHY ANN BASKIN o;PaY N BASKINCommission No. �_ �•a Notary Publiq���te of Florida Commission No. = . tate of Floriday Comm.expires Oct 2,2016 ;N es Oct 2,2016Commission#FF 015226 .F FF 015226nn W Bonded broup ationa otary ssn.. na oiary Assn.
Revised 07/1
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