HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 L
Date,. N Permit Number:
RECEIV`D itlOV 09-2015
- -- _ - --- 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 APPLiCATIO.N FOR: Other_ b v w q
PROPOSED IMPROVEMENT LOCATION:
Address: 7 GORDA WAY
Legal Description: SECTION 26-/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 - lot N0,.7
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 21'9" Back: 31' Right Side: 12'6" Left Side: 12'6"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 12'x 67'9"
2500PSI-4" THICKNESS.
THE DRIVEWAY DOES:NOT BUTT UP TO THE MOBILE-HOME
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a _appy:
HVAC be
❑Gas Piping Shutters aWindows/Doors
Electric Plumbing OSprinklers ❑Generator El.Roof
Total Sq:.Ft of Construction: 804 : S Ft:of First Floor:
Cost of Construction:$ 1,688.00 Utilities:Sewer E]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:FL. Address: 8000 SOUTH US HWY. 1 SUITE 402
Zip Code: 349.52 Fax:(772)878-7656 City: PORT ST. LUCIE State:FL
Phone No.(772)878-5513 Zip Code:. 34952Fax: (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 in tallation has commenced prior to the issuance of a permit.
St. Lucie County makes no re resentation that is granting a permit will a thorize the permit holder to build the subject structure
which is in conflict with any a plicable Home Owners Association rules, b aws or and covenants that may restrict or prohibit such
structure.Please consult with our Home Owners Association and review y ur deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit,I do hereby agree t t I will,in all respects,perform the work
in accordance with the approve plans,the Florida Building Codes and St. Luci County Amendments.
The following building permit ap lications are exempt from undergoing a full con urrency review:room additions,
accessory structures, wimming ools,fences,walls,signs,screen rooms and acce sory uses to another non-residential use
WARNING TO O ER:You failure to Record a Notice of Comme ceme t may result in your paying twice for
improvements t ur prop rty. A Notice of Commencement St
be recorded and posted on the jobsite
before the first i s 4ction. you intend to obtain financing, co t w th lender or an attorney before
commencingwo recor in our Notice of Commencement
y Sighature of Owne Agent/Lessee'; 1 Signature T1 Contactor/License'Holder,
STATE OF FLORIDA STATE OF FLORIDA /
COUNTY OF 91—. " c cr COUNTY OF 45-77% cr e
The forge,Q�' g instr ent was acknowledged b fore me The forgo* instru ent was acknowledged before me
this 30relay of !3 c-- 20 Is by this,3oT`day of ��o rE-7"6 eX ,20_41y
���I-T�f�E7� L `��E W Y•vNL ,�I��e"Z� � Yc E GU YN n� c
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not&Public-State of Florida) (Signature of Not Public-State of Florida)
Personally Known V OR Produced Identification Personally Known ✓OR Produced Identification
Type of Identifica Type of identification Pr
,�``qrP''•.,, DOROTHY ANN BASKIN �J�11 P&
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Revised 07/1 /2 1
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