HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . I 1 �� Permit Number:
RECEI I '_7D JAN 2 8 2016
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 14 ANTIGUA
Legal Description:-SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 34:14-501-1701-000/9Lot No.14
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20' Back: 39'5" Right Side:' 12'1 Left Sider 12'1"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 72X12
250OPSI -4" THICKNESS
THE DRIVEWAY.DOES NOT BUTT-UP TO THE MOBILE-HOME
CONSTRUCTION INFORMATION:
Additional.work to be nertormed un ert is.Gasmceca r1t apply:
11HVAC Gas Tank E]
Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator g.Roof
Total Sq. Ft of Construction: 864 S . Ft.of First Floor:
Cost of construction:$ 1,814.00 - 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: FORT 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)87&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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x_. Not Applicable
Name: BRAZEN&BRAZEN Name:
Address: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 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 gra��pting a permit will authorize the permit holder to uild the subject structure
which is in conflict with any applicable Home 0 nersNM(11
ciation rules, bylaws or and covenants that ay restrict or prohibit such
structure.Please consult with your Home Own rs Assion andreview your deed for any restriction which may apply.
In consideration of the granting of this reques ed permit, I do hereby agree that I will,in all respects,p rform the work
in accordance with the approved plans,the F rida Building Codes and St. Lucie County Amendments.
The following building permit applications a e exempt from undergoing a full concurrency review: roo additions,
accessory structures,swimming pools,fen s,walls,signs,screen rooms and accessory uses to anothe non-residential use
WARNING TO OWNER:Your failur to Record a Notice of Commencement may r suit in our paying twice for
improvements to your p perty. Notice of Commencement must be recor d and posted on the jobsite
before the first inspecXordin
If yo intend to obtain financing, consult with er or n attorney before
commencing work or our Notice of Commencement.
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; { � :J egSitoe wAsee ;;Signature of Contr cto�JCicens H Ider ' ,'
STATE OF FLORIDA STATE OF FLOR DA
COUNTY OF S ccs COUNTYOF & kuccr
The forgoing instruct was acknowledged before me The forgoing instru ent was acknowledged before me
this't7idayof "J �1ivc.Co4�2�-f 20 l&by this 2�ltayof 4A)CA +*ey 20i(sby
,/I4-17tige—w LgC.F wVNN1; �'f A7Th E7,J L-Ic- Wy1rC
(Name of person acknowledging) (Name of person.acknowledging)
(Signature of No r Public-State of Florida) (Signature of Not®r Public-State of Florida)
Personally Known_Lz�_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produ a Type of Identifica 'o Pr duced
�•a�r Pia DOROTHY ANN BASKIN .�`R'r'"P"'•., DOROTH
Commission No o�Pa "°;''• y Public(SM6 of Florida Commission No. :osP °a,'-, . / -State f FloridaR * tory Publi tate of Flo
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My Comm.Expires Oct 2,2016 r. e° My Comm.Expires Oct 2,2016
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Bonded Throu h National Notary Assn. �0 °`'`
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE T_
INITIALS