HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAIIBLE.I INFFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (`�
Dater: I � IJ Permit Number: :��"U
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553. Fax: (772)462-1578 - Commercial Residentia[X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 10 LOS GATOS
Legal Description: SECTION 26./TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000./9 Lot No: 10
Site Pian Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front- Back: 31'8" Right Side: 12'8 1/2" Left Sider 12'8 1/2"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY 12'_X 82'
250OPSI -4" THICKNESS
THE DRIVEWAY-DOES:NOT BUTT UP TO THE MOBILE.HOME
CONSTRUCTION]N FORMATION:
AClaitional worK.tobe nertormed -under tispermit—check all fn appy:. .
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors:
Electric, 0 Plumbing Sprinklers Generator E] Roof
Total Sq.Ft of Construction: 984 : S . Ft.of First Floor:
Cost of Construction:$ 2,066.00 Utilities SewerSeptic Building.Height:
OWNER/LESSEE:,, CONTRACTOR:
Name WYNNE-BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address.8000 SOUTH US.HWY. 1 SUITE 402Company: WYNNE DEVELOPMENT CORPORATION_
City: PORT ST. LUCIE' State:FL Address: 8000 SOUTH US.HWY. 1 SUITE 402
Zip Code: 34952.' Fax:(7-72)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-Maik-
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.
'OIL "
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 orinstallation 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 grand co Hants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed fora restrictions which may apply..
In consideration of a granting of this requested permit,I do hereby agree that I will,in.all spects,perform the work
in accordance with the pproved plans,the Florida Building Codes and St:Lucie County Ame dments.
The following building pe it applications are exempt from undergoing a full concurrency re ew: room additions,
accessory structures,swim 'ng pools,fences,walls,signs,screen rooms and accessory uses t another non-residential use
WARNING TO OWNER: ur failure to Record a Notice of Commencement ay re ult in your paying twice for
improvements
i
ur.pr perty.A Notice-of Commencement must be r cord d and posted on the jobsite
before the firstction Lf'you intend to obtain financing, consult len r or an attorney before
commencin wreco ding your Notice of Commencement.
Si nature o`flOwner,A 'nt/Lessee xSinature of Contractor License Holder '
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57-_ ,Lit Gig^ COUNTY OF ST I�t.l ci r
The for qin instru ent was acknowledged,b fore me The forgoJ'ng instrument was acknowledged before me
this J7nay of 20�by this L7nay of A-" Cr•u S7- 20_16—by
Rsq--TTifew E Ny,v ry C /y),47WCTJ LyLE GyY•v /V e
(Name of person acknowledging) (Name of person.acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Nota P blit-State of Florida)
Personally Known L'�OR Produced Identification Personally Known Ll-� OR. Produced Identification
Type of Identificati Type of Identification P =, ANN
""""�• DOROTHY ANN BASKIN Y ANN BASKIN°e pCommission No. ;r `�, Notary R�lg)-State of Florida Commission No. �-State of Florida. .• My Comm.Expires Oct 2,2016 .Expires Oct 2,2016Commission#FF 015226sion#FF 015226
Bonded Through National Notary Assn. WWWMry Assn.
-Revised 07/15/2014
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