HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: SrU,',
•
---- _= Building Permit Application
- d3S
Planning and Development Services
Building and Code Regulation Division d
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: 4-ANTIGUA .
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
- Property Tax ID#: 3414-501-1701-000/9 Lot No.4
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20' Back: 25'4" Right Side: 12'1" Left Side: 12'1" -
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12'x 80'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
[CONSTRUCTION INFORMATION:
itiona wor to e e orme underthis permit—c check a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
gElectric PlumbingSprinklers E]Generator g Roof
Total Sq. Ft of Construction: 960 S . Ft.of First Floor:
Cost of Construction:$ 2,016.00 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE; 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: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.
.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 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 b ild the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that m y 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, p form the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exept from undergoing a full concurrency review: roo additions,
accessory structures,swimming pools,fences,w s,signs,screen rooms and accessory uses to anoth r non-residential use
WARNING TO OWNER:Your failure to Kecord a Notice of Commencement may result i your paying twice for
improvements to your property. A N ice of Commencement must be recorded an posted on the jobsite
before the first inspecti9p. If you i end to obtain financing, consult with le o an attorney before
commencing work cibrcling y6ur Notice of Commencement.
j Signe;of Owner.%Agent%Lessee `� 'Signature of Cori Tactor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .5 . J-NC i E COUNTYOF ST �-UCsC
The forgpg instrument was acknowledged before me The forgogg instrument was acknowledged before me
this �6 day of �S'��'114 Eft, 201 by this�day of 20-.L4 by
aRn-4=I EW L YLE WV"PJ 71-H&W LYC.E (/)'/N Yu C
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Nota �blic�State of Florida)
Personally Known OR Produced Identification Personally Known `- OR Produced Identification
Type of Identificatio Type of Identification "2#"' r
�•tiPar PSB,, .tiPar P� , DOROTHY ANN BASKIN -
Commission No. ?,2,• *ms's_ Notary ubli -State of Florida Commission No. _-'2,* *`�; Notary P �F)State of Florida
: My CorLpires Oct 2,2016 , . * My Comm.Expires Oct 2,2016
�Nqr Commission#FF 015226 Commission#FF 015226
nFOFF�O.•` r
nraugh National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE s
INITIALS