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ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U �� D ✓ Permit Number: �" " V ?3
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--- - 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: 45 Del Prado
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9Lot No.:45
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20' Back: 30' Right Side: 13'6" Left Side: 13'6"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12' x 76'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES:NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work to be e orme under this permit—check all appy:Ej ,
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator ElRoof
Total Sq. Ft of Construction: 912 S . Ft:of First Floor:
Cost of Construction:$ 1,915.00 Utilities:Sewer(Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE"NNE
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 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.
.4
s.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRAZEN&BRAZEN 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 pe it holder to build the subject structure
which is in conflict with any app cable Home Owners Association rules,bylaws or and co nants that may restrict or prohibit such
structure. Please consult with yo r Home Owners Association and review your deed for an restrictions which may apply.
Inconsideration of the granting of his requested permit,I do hereby agree that I will,in alspects, perform the work
in accordance with the approved pl ns,the Florida Building Codes and St.Lucie County Ame ments.
The following building permit applica ions are exempt from undergoing a full concurrency revs w: room additions,
accessory structures,swimming pools fences,walls,signs,screen rooms and accessory uses t another non-residential use
WARNING TO OWNER: our fail re to Record a Notice of Commencement may res It in your paying twice for
improvements to your operty A Notice of Commencement must be re de and posted on the jobsite
before the first inspecti . If yo intend to obtain financing, consult with de or an attorney before
commencin work or re rdin our Notice of Commencement.
t Sig ture�of Owner/Agen;J Lessee T-Signature of Cont-act rf License Holder i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST I,.0 Gig" COUNTY OF JT. AAA cs c
The forgoi g instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this�qay of A t 1,t4.s 20 N by this��'day of 20_1_rby
l ar-r* LY(— y.vnf& ,�R7'l1-fes Wylty/ie7
(Name of person acknowledging) (Name of person acknowledging)
(Signature of N&ry Public-State of Florida) (Signature of Nota - uublic-State of Florida)
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identifica ' Type of Identification ro
�.�•��,P ..� DOROTHY ANN BASKIN o`p0.r"�e
ro,Pa vel., :?. Notary RV 1x State of Florida _
Commission No. =�. n, Notary Put��a�tate of Florida Commission No. = ' My Com x fres Oct 2,2016
•. •.° y Comm.Expires Oct 2,2016 =
Commission#FF 015226 9j P�o� Commission#FF 015226
%� .o.• ,�,4FOFF1�d
Bonded Through National Notary Assn.
Revised 07/1
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