HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 4 a�.15 15. . Perrnit-N,urnber A 5 1 a j da 5.y
®EC 15 201
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RE.CEI
Building Permit Applicati0n
:'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 R2SideCltial X
PERMIT APPLICATION FOR: Other.:'
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PROPOSED IMPROVEMENT LOCATION:
Address: 12 ISLANDIA
Legal Description': SECTION 26./_TQWNSHIP 36s,.RANGE 40e
. .
Property Tax ID#: 3414-501:1701.-000/9 . Lot-NO;:12
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
. . . . . . . . . . ..
Setbacks Front 20'2" Back: 29'8" Right Side: .14'4" . Left Side: 14'4"
DETAILED DESCRIPTION OF WORK: ;,
DRIVEWAY-12X85'2 .
2500PS1 -'4"THICKNESS
THE DRIVEWAY.DOES-NOT.BUTT UP TO THE MOBILE-HOME
CONSTRUCTION INFORMATION:
itiona .wor to ee ormed :_under this permit—check a appy:
(HVAC. Gas Tank Gas Piping U.shutters. Q Windows/Doors
Electric. 0 Plumbing . Sprinklers Generator O Roof
Total Sq..Ft of Construction: 1022. SCI. Ft:of.First Floor:
Cost of.Construction:$ 2,1:46.00 . Utilities:. SewerSeptic 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:(7.72)878-7656 . . . City: PORT ST..LUCIE State:FL-,
Ph-one.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: Stater
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: Ph ne:
I certify that no wor r installation has commenced prior to the issuance of a permit.
St. Lucie County makes n representation that is granting a permit will authorize the permit holde 'to build the subject structure
-which is in conflict with a applicable Home Owners Association rules, bylaws or and covenants t at may restrict or prohibit such
structure.Please consult w h your Home Owners Association and review your deed for any restri ons which may apply..
In consideration of the grants g of this requested permit,I do hereby agree that I will,in.all respects, perform the work
in accordance with the appro d plans,the Florida Building Codes and St.Lucie County Amendments
:The following building permit a plications are exempt from undergoing a full concurrency review:roo additions,
accessory structures,swimming ools,fences,walls,signs,screen rooms and accessory uses to anoth r non-residential use
WARNING TO O NER:You failure to Record a Notice of Commencement ma result in our paying twice for
improvements to ur prop rty.A Notice of Commencement must be reco ed and osted on the jobsite
-before the first in ection. I you intend to obtain financing, consult with le d or attorney before
commentingwor r cor in . our Notice of Commencement.
Signature of Owner%Ag `t/Lessee Signature of Contra r tcense Holder
�s
'.�1
STATE OF FLORIDA STATE OF FLOR A
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The for instrument was acknowledged before me
this» ay of�o`-.�_�� 20 by this \�}��y of �a��i.� ,20 by-
(Name of person acknowledging) (Name of person acknowledging)
(S' nature of Notary Public-State orida) (Sigature of Notary Public-:State of F8,01a)
Personally Known OR Produced Identification Personally Known AOR Produced Identification
-Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
SUS tii , MAGEE
MAGEE :'rg'
MY COMMISSION q FF 187647 : MY COMMISSION 9 FF 187647
�• EXPIRES,Fohrvary 9.q 2019
Bonded 7hru Notary Public Undorxdters flf„tk°' Bonded Thru Notary Public Underwriters
Revised 07/15/2014.
REVIEWS- FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW.
DATE
COMPLETE
�N�ITIALS;[