HomeMy WebLinkAboutBuilding Permit Application ALL"APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION-TO BE ACCEPTED
Date: Permit Number: / " VT
•
Building Permit Application
Planning and Development Services .
Building and Code Regulation Division.
'23.00 Virginia Avenue,Fort Pierce FL 34982
Phone:.(772)462-1553 Fax: (772)462-15781 Commercial Residential X
PERMIT APPLICATION FOR: Other
.PROPOSED IMPROVEMENT LOCATION:
Address: 5:HERMOSA .
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e.
3414=501-1701=000/9. 5.
Property Tax ID.#: . Lot No:
Site Plan Name:. SPANISH-LAKES-ONE Block No.
Project Name:'
Setbacks Front 1518" Back: 30' Right Side: .137" Left Side: 23'8"
DETAILED DESCRIPTfON OF`WORK: .
DRIVEWAY - 1.2'x 61'8"
250OPSI --4" THICKNESS
THE DRIVEWAY DOES NOT-BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-che&all appy:
HVAC_ Gas Tank Gas Piping _Shutters a Windows/Doors.
Electric ❑ Plumb ing S prinklers Generator Roof
Total Sq: Ft of Construction! 732. S Ft. of First Floor:
Cost of Construction:.$-1,537.00 Utilities; Sewer. 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:':34952 Fax:(772)87877656 City: PORT ST. LUCIE State:FL
Phone No.(772)878-5513 Zip Code: 34952 Fax: (772)87&7656
E-Mail: Phone No. (772)W&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 Commencementis required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable . MORTGAGE COMPANY: x Not Applicable
Name: BRADENBBRADEN. Name:
Add ress: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.CO.MPANY: 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 subject.structur
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit s ch
structure. Please consult withyouur Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the:work
in accordance with.the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from unde oing a full concurrency review:room additions;
accessory structures,swimming pools,fences,walls,signs,scr n rooms and accessory: to another non-residential se
WARNING TO OWNER:Your failure to Record a ice of.Commencement-may result in you paying_ ice for
improvements to your property. A Notice of ommencement must be recorded an.d ed on a jobsite.
before the first inspection: If you intend obtain financing, consult with lender attorn before
commencing work Ore ing your-Pit5tice of Commencement.
S g mature of Owner% gent/Lessee- - Signature of Contractofnycense`Holder j
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF S i Lit G!C COUNTY OF S'i• u C-1
The for oing instrument was acknowledged b�effore me The for oing instrument was acknowledged before me
this //'day of /1�oyF,v"4 (FX 20 141 by this / day of /1(a�c�n�s Fn 20_Irby
buV-'riv E _/ 4rTHe W, L Ye_. INynuiv e
(Name of person acknowledging) {Name of person acknowledging)
(Signature of NotV Public-State of Florida) (Signature of Not ublic-:State of Florida)
Personally Known OR Produced Identification Personally Known L,/OR Produced Identification
Type of Ident'ificatio Type of Identification
Notary Public State of Florida .•�Pa.P&1, DOROTHY-ANN.BASKIN
Commission No.- ' = My Com�E8pIres;Oct2t20'16: Commission No. =_°+ `� Notary Pu&aljtate of Florlda
Commission#FF 0152P6' �• +P MY Comm.1 Expires,
2,2016:
Commission#-FF 615226
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Through National Notary high
Revised.07/15%2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE. MANGROVE_
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE.
: . . INITIALS
ST. LUCIE COUNTY
..:..... '`� BUILDING- & ZONING
2300 VIRGINIA AVENUE
a FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
1, Lhe. undersigned, am the owner of the following described properly:s
Part of 3414-501-1701-000/9 ; Section 26 , Township 36s & Range 40E
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
chis Final Development Permit, BP Number , I acknowledge that aS ownec of
the above described property, and in accordance with Section 7.04.01(D), St. .L cie County
Land Development Code, I shall be responsible for assuring adequate drainag so that the
immediate community WILL NOT be adversely affected. I further acknow edge shat in
granting this permit for the development of this property, St. Lucie County is either obliged
nor liable to provide for, or maintain in any form, adequate drainage off my roperty which
will not adversely affect the immediate community.
Matthew Lyle Wynne
Property Owner Name Propert ner 'igna vre #� Dace
STATE OF FLORIDA,COUNTY OF S t _ L u c i e `` //
ACKNOWLEDGED BEFORE ME THIS DAY OF A10V YY)JCX .20z--S).
By Mat thew Lyle Wynne WHO IS PERSONALTY KNOWN TO ME OR WHO HAS PRIODUCEo
AS MENTCFICATION.
SIGNATURE OF OTARY TYPE OR PRINT NAME OF NOTARY
(SLAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
puuy,
',��ap_e,, DOROTHY ANN®lI$KIN
?° *ems. Notary Public-StAti of Florida
-'. », My Comm.ExPlres Oct;2_2016=
''q. P°:= Commission°#rfF`0952Y8
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