HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 1`� �s Permit Number: .
k. ,$ R E C E I D NOV 0 91015
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: 8 ANDALUSIA
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No..8
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 16'6 Back: 27'6" Right Side: 14'2" Left Side: 14'2"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12'x 76'6"
250OPSI -4"THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
[CONSTRUCTION INFORMATION:
Additional work to be performed under tispermit—c eck all apply:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric O Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 912 SInSewer
of First Floor:
Cost of.Construction:$ 1,915.00 Utilities: 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 349.52 : . . Fax:(772)878-7656 City:,PORT ST. LUCIE Stater FIL .
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:ancocoNuTAVE. 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 installati n has commenced prior to the issuance of a permit.
St.Lucie County makes no represe tation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applica le Home Owners Association rules,bylaws or and covenants tha 'may restrict or prohibit such '
structure. Please consult with your ome Owners Association and review your deed for any restrictio s which may apply..
In consideration of the granting of t is requested permit,I do hereby agree that I will,in all respects, rform the work
in accordance with the approved pla s,the Florida Building Codes and St. Lucie County Amendments.
.The following building permit applic tions are exempt from undergoing a full concurrency review: roo additions,
accessory structures,swimming poo s,fences,walls,signs,screen rooms and accessory uses to anothe non-residential use
WARNING TO OWN R:Your f ilure to Record a Notice of Commencement may result in y ur paying twice for
improvements toy r prope ty.A Notice of Commencement must be r c ded and osted on the jobsite
before the first ins tion. If ou intend to obtain financing, consult .'t nder or a attorney before
commencingwe recor n our Notice of Commencement.
IAJ
S gnature'of Own�rr/.•Agent/Lessee:°"1 . Stgna#u re of Cory racfo` icense Holder;,.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-7. ct COUNTY OF Si c�c
The forng instruUent was acknowledged Wore me The forgoing instrument was acknowledged before me
this—c> day of 6'C_)07�a cin., 20 1`D by this3D��day of SC �S c7t 20__Lj'by
/yI�4zTt caw LYc-6 �)�"V -ATTNe ye-e- wYN/V
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notid Public-State of Florida) (Signature of Nota ublic State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Type of Identification d
osPa�P�a�.,, ANN BASKIN
�•iPar Pia, DOROTHY ANN BASKIN
:?+ .�: Notary Put�gdl�tate of Florida Commission No. ?2°+ `c'? Notary()-State of Florida
Commission No. =
MY Comm.Expires Oct 2,2016 •. .• My Comm.Expires Oct 2;2016
9,F °por Commission#FF 015226 Commission
OF FI
nrougn National Notary Assn. hrough National Notary Assn.
Revised 07/15/2014
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