HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. Permit Number:
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:"120CTAVIO
Legal Description:.EAST 1/2 OF SECTION 1 /TOWNSHIP 34s, RANGE 39e
Property Tax ID#- 9301-111=0001-000-5 Lot No.12
Site Plan Name: SPANISH LAKES COUNTRY CLUB VILLAGE Block No.-
Project Name:
Setbacks Front 25' Back: 25'' Right Side: 15' Left Side: 15''
DETAILED DESCRIPTION OF WORK: .
DRIVE-WAY—14'X 49' "
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Ad, ditionalworKtobenertormedunder this permit—check all appy:
HVAC Gas Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing OSprinklers 11 Generator ElRoof" "
Total Sq..Ft of Construction: 686 Sq. Ft.of First Floor:.
Cost of Construction:$ 1,440.00 Utilities: Sewer 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: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: BRADENBBRADEN Name:
Address:a17CocoNUTAVE. 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 build the subje t structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or rohibit such
structure.Please consult with your Home.Owners Association and review your deed for any restrictions which may ply.
Inconsideration of the granting of this requested permit,I do hereby agree that I will;in all respects, perform the ork
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The-following building permit applications are exempt from undergoing a:full concurrency review: room additio ,
accessory structures,swimming pools,fences,walls,signs,scree rooms and accessory uses to another non-re dentia)use
WARNING TO OWNER:Your failure.to Record a No ' e of Commencement may result in your ying twice for
improvements to your property. A Notice of Co mencement must be recorded an pos don the jobsite
before the first inspection. If y intend to ain financing, consult with lender n orney before
commencing work or r cor
T.
our No ' e of Commencement.
Sigr ature of Owner/.:Agent/Lessee: 'Signature of Contractor. License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Cr C-1-C, COUNTY OF
The forgoinstrument was acknowledged b ore me The forg9ing instrument was acknowledged before me
this day of OCT'o 6e-)2 20 I'S this 7 day of 0C_7-b,6&X- 20_j3—by
�1P9,4mw cw L vG€ -GU y v N 4:�
(Name of person acknowledging) (Name.of person acknowledging)
(Signature of Ndit Public-State of Florida) (Signature of Nota roblic-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known R Produced Identification
-Type of IdentifType of ldentificat'.n Ppq Wce _
DOROTHY ANN BASKIN ;o�P KIN
aYP ' =2•� o: Notary Publj�egi�te of Florida
[Cr tiP (/B�i � 8
Commission No. _°. ,`�: Notary Publjse.Agate of Florida Commission No. = •
B•9 » My Comm.Expires Oct 2,2016 »,I111", _ y Comm. xpire Oct 2,2016
» , 1 °�°;� Commission#FF 015226
' oc Commission#FF 015226 '•,°F F�
Bonded Through National Notary Assn, y ASsn.
Revised 67/1
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