HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��
Date Permit Number: "
Building Permit.Application SEP 1-7 2015
Planning and Development Services
Building and Code Regulation Division PERFAITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Luci8 County. FL
Phone: (772)462=1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:- Other
PROPOSED IMPROVEMENT LOCATION:
Address: 4 LOS GATOS
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 16'6" Back: 31'8" Right Side: 18'4" Left Side: 18'4"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12' x 33'10"
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
[CONSTRUCTION INFORMATION:
Additional wor- to ee orme under tis permit—check a appy:
CjHVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
Electric OPlumbing . []SprinklersGenerator g,Roof
Total Sq. Ft of Construction: 396 Sq. Ft.of First Floor:
Cost of Construction:$ 831.00 Utilities:Sewer E]Septic 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: BRADENSBRADEN 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 repre)nhion that is gr nting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applHome Owne s Association rules, bylaws or and covenants that may restrict or prohibit such
structure.Please consult with yome Owners ssociation and review your deed for any restrictions which may apply..
In consideration of the granting requested ermit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved ,the Flori a Building Codes and St. Lucie County Amendments.
The following building permit apons are xempt from undergoing a full concurrency review: room additions,accessory structures,swimming fence ,walls,signs,screen rooms and accessory uses to anoth (( non-residential use
WARNING TO OWNER:Your o Record a Notice of Commencement may result i your paying twice for
improvements to your pro . Notice of Commencement must be record d a posted on the jobsite
before the first inspecti n. intend to obtain financing, consult withIer ran attorney before
commencin work corour Notice of Commencement.
Signature of droner/Agent/Less`ee Signature of:Contractor/License Holder '
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF "C is COUNTY OF ,Si. 1-&4 c, r
The forgo g instrument was acknowledged before me The folgoing instrument was acknowledged Wore me
this IV day of c5�7�A1 20 14by this 16 day of J �SEIZ ,20_11
od92A-rr-Pc-Li ID 4 7rr6-W L yC_E 1,A)yN w e
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary blic-State of Florida) (Signature of Nota u/blic-State of Florida)
Personally Know r d e Id c io Personally Known I/ OR Produced Identification
Type of Identifica n Prcad�ced Type of Identificati P o uced
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Notary Public-State of Florida , ,Pa�P,,
Commission No. =.'�# •= Comm.(64&i�s Oct 2,2016 Commission No. ,.o� tea'% DOROy �� N BASKIN
Y _ Notary Puaalic- tate of Florida
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,N'•iFOF F����, Commission#FF 015226 My Comm.Expires Oct 2,2016:
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Revised 07/15/2014 ded Through National Notary Assn.
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