HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number: w l I.-nam
• J
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: 14428 AZUCENA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.14428
Site Plan Name: SPANISH LAKES FAIRWAYS -Block No.
Project Name:
Setbacks Front 2 55 Back: 3DB Right Side: 19'8" Left Side: 19'8"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 14' X 59'
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
E1HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric E Plumbing Sprinklers ElGenerator g Roof
Total Sq. Ft of Construction: 826 S . Ft.of First Floor:
Cost of Construction:$ 1,734.00 Utilities:Sewer OSeptic 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:FIL 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: BRADEN&BRADEN Name:
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: (772)287-9258 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 o permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict ith any applicable Home Owners Association rules, bylaws or nd covenants that may restrict or prohibit such
structure.Please co ult with your Home Owners Association and review your dee for any restrictions which may apply.
Inconsideration of the ranting of this requested permit,I do hereby agree that I wi in all respects,perform the work
in accordance with the pproved plans,the Florida Building Codes and St. Lucie Coun Amendments.
The following building p mit applications are exempt from undergoing a full concurre cy review: room additions,
accessory structures,swi ming pools,fences,walls,signs,screen rooms and accessory ses to another non-residential use
WARNING TO O E :Your failure to Record a Notice of Commence ent y result in your paying twice for
improvements t ou property.A Notice of Commencement mus be re rded and posted on the jobsite
before the first ( ec ion. If you intend to obtain financing, consul with ender or an attorney before
commencing wo or cording our Notice of Commencementt
.
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a aS'ignature,of Owner./ gentLLessee '"Signature oT ontr ctor/License.Holder `'
Lr
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF fir, cre COUNTY OF ST �-uc rc
The for oing instrument was acknowledged before me The forgging instrument was acknowledged before me
this day of DCTv 6 ex_ 20 1 by this Z day of Q�Ta/�6-11_ 20 by
i¢trli•IFLJ L Yc.E �N n�e //yI ELJ L YLE GV Y/V V e
(Name of person acknowledging) (Name of person acknowledging)
LL-Q�
(Signature of Notaryblic-State of Florida) (Signature of Notar ublic-State of Florida)
Personally Known �OR Produced Identification Personally Known GI"**'OR Produced Identification
Type of Identificatio o eType of Identificati - du
H ANN
BASKIN
,�•�ay P�, DOROTHY ANN BASKIN.
, , s Notar P lic-State of Florida ,o` °;'--,
Commission No. _ . • - y Commission No. =_» +�_-- Notary Pu�_en tate of Florida
My Com �ires Oct 2,2016 =•. » •= My Comm.Expires Oct 2,2016
Commission#FF 015226 j9F o��o,• Commission#FF 015226
SH. oneo I nrougn-NatlOn2l Notary ASSn.
Revised 07/15/2014
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