HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
Date:. c Permit Number: /
. ,
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 ReSiderltial:X
PERMIT APPLICATION FOR: Other,
PROPOSED IMPROVEMENT LOCATION:
-Address: 10 Granada South
Legal Description:-SECTION 26./TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot-No.10
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 22' Back: 27'2" Right Side: 12'1" LeftSide: 12'1"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12''x 78'
250OPSI -4"THICKNESS
THE DRIVEWAY.DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional-worK to be performed under this permit—check all tapply:
HVAC. Gas Tank E]Gas Piping Shutters Q Windows/D.00rs
0 Electric Q.
Plumbing Sprinklers 11 Generator E]Roof
Total Sq:Ft of Construction: 936 S . Ft:of First Floor:
Cost of Construction:$ 1,966.00 Utilities:Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
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:FIL 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 Noticed Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 t at may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restric ions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respect , perform the work
in accordance with the approved plans,the.Florida Building Codes and St. Lucie County Amendmen s.
The following building permit applications re exempt from undergoing a full concurrency review: r om additions,
accessory structures,swimming pools,fe ces,walls,signs,screen rooms and accessory uses to ano her non-residential use
WARNING TO OWNER:Y r failu a to Record a Notice of Commencement may result n your paying twice for
improvements to your p o erty A Notice of Commencement must be rec ded a d posted on the jobsite
-before the first inspec 'o if y u intend to obtain financing, consult wit der r an attorney before
commencingwork o e rdi our Notice of Commencement.
d , Signature"f'of Owner/Agent/.Lessee SignatuYe 'f.Cocr/License Holder
7
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF St, kJ-4c le::- COUNTY OF Si "C i
The forgojng instrument was acknowledged fore me The forgoing instrument was acknowledged before me
this LZ day of I�-LI -CIS 20 1 by this�`Kday of /Q�t torr is i ,20__jCby
MAr7iyrw Lycc= GyYIvrvo�7 ID167TxCW L yK=E
(Name of person acknowledging) (Name of person acknowledging)
O'� A
Signature of Not Public-State of Florida) (Signature of Nota P blic-State of Florida
Personally Known :✓�R Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identification ro
r % ``a�n'' DOROTHY A
.1P be, .`'0 0"
Notary P�State of Florida ?_°. .`� Notar P
Commission No. p wkk w y Cum r}es Oct 2,2016 Commission No. _ y ( 8fida. +• My COmm.Exp16Commission#FF 015226 %9jovo� '� Commission n e ough Nasan.
Revised 07/15 2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS