HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l a(tS 15 Permit Number:
RECEL'.'rD 'DEC 15 101
Building Permit Application
:Planning and DevelopmentServices
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.: - D
. S �V (� W0.
PROPOSED IMPROVEMENT LOCATION;,
Address: 5 LOS GATOS
Legal Description: ,SECTION 26./TOWNSHIP 36s,RANGE 40e
:Property Tax ID#. 3414-501-1701-000/9 Lot No::S.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name: : . .
. . . . . . . . .
Setbacks Front 14 Back: 22'1" Right Side: 17/1" Left=Side 171" .
DETAILED DESCRIPTION OF WORK:
DRIVEWAY.- 12X31'4"
250OPSI -4"`THICKNESS.
THE DRIVEWAY.DOES NOT BUTT UP TO THE MOBILE HOME.
.CONSTRUCTION INFORMATION:
itiona -wor .to bft ertormed under this permit—check all appy:
HVAC. Gas Tank Gas Piping _Shutters a Windows/Doors
Electric D Plumbing ,Sprinklers Generator Roof
Total SgJt of Construction: 376 S . Ft.of First Floor:
-Cost of Construction:-$ 789.00 Utilities: Sewer Septic Building.Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNNE-BUILDING CORPORATION Name: MATTHEW LYLE WYNNE
Address:8000 SOUTH US.HWY. 1 SUITE 402Company: WYNNE DEVELOPMENT_CORPORATION
City: PORTST..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):M-5513 : Zip'Code:. 34952 Fax: (772)8787.7656
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-
DESIGN ER/ENGI NEER-
NFORMATION:DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
:..
Name:.BRADEN&BRADEN Name:
Address:ali COCONUTAVE. Address:
.City: STUART State: FL City: State:
Zip: 34996- .Phone:. (772i287-8258 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-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 structure
-which is in conflict with any applicable Home Owners Association rules, bylaws or and covenanthat may restrict or prohibit such
structure.Please consult with your Home.Owners Association and review your deed for any recy,ictions which may apply..
In considerati o_f the granting of this requested permit,-I do hereby agree-that I will;in-all resp cts,perform the work
in accordance wi the approved plans,the Florida Building Codes and St. Lucie County Amendm nts.
The following-buildl g permit applications are exempt from undergoing a full concurrency review: room additions, -
accessory structures,.wimming pools;fences,walls,signs,screen rooms and accessory uses to an ther non=residential use
WARNING TO:OW ER:Your failure to Record a Notice of Commencement may result in your paying twice for
improve nts to yo r property. A Notice of Commencement must be reco ded a d posted.on the jobsite
before t e first jnspe tion. If you intend to obtain financing, consult with I der o-an attorney before
commen i Work or ecordin .-your Notice of Commencement.
Signatu`re;o w er/A 'x t/Lessee
� Stg�afure of Con racf .r/ ense Holder_' ,�
STATE OF LORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF L c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiky, —day of, P rti\oma_ . 20��by this.\ ay of`)ca)N6� 20_t5by
(Name of per cknowledging) (Name of person.acknowledging)
=(Sign ure of Notary Public-State of . da) ( 'gnature of Notary Publio-State of rida)
Personally Known- ��OR Produced Identification Personally Known '� OR Produced Identification
Type of IdentificationProducedType of Identification Produced .
Commission No. rcP=n Commission No.
SUSAN MAGES ,rQ;a Y ny'B SUSAN MAGEE
MY COMMISSION#FF 187647
EXPIRES:February 23,2019 V}. a= EXPIRES:February ,
Zulu
Bonded Thru Nota Public Underwriters ] ��\ Banded Thru Notary Public Underrrdtem
Revised 07/15%201 Notary
REVIEWS FRONT ZONING SUPERVISOR_ PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW _ REVIEW
DATE
COMPLETE
INITIALS-