HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 ReSid2rltial X
PERMIT APPLICATION FOR:, Other
PROPOSED IMPROVEMENT LOCATION:
Address: 12 ALHAMBRA SOUTH
Legal Description:
SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9Lot No.12
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 20' Back: 25' Right Side: 13'10 1/2" Left Side: 14'10 14'
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 58X12 AND 24X11
250OPSI -4" THICKNESS
THE DRIVEWAY DOES.NOT BUTT UP TO THE MOBILE HOME
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all that appy:
1JHVAC. Gas Tank Gas Piping _Shutters EWindows/Doors
0 Electric 0 Plumbing ❑Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction: 960 Sq. Ft.of First,Floor: �.
Cost of Construction:$ 2,016.00 Utilities:0Sewer Septic 'Building Height:-
OWNER/LESSEE: CONTRACTOR:] sa
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)878-7656 City: PORT ST..LUCIE State:FL
Phone No.(772)878-5513 Zip Code: 34952 ' I I Fax: (772)878-7656
E-Mail: Phone No. (772)878-5513 ,11,
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: !
l V.: {
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 'j' x Not Applicable
Name: BRADEN&BRADEN Name: 1
Address:417 COCONUT AVE. Address:
City: STUART State: FL City: State:
Zip: 34995 Phone: (772)287-8258 Zip: Phone: '!!
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: ,j _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: 11
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 covenants that may restrict or prohibit such
structure.Please consult with your 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 undergoing a full concurrency review:!room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result;in your paying twice for
improvements to your property.A Notice of Commencement must be recorded a'nd posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recordingyour Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/Licensi,Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. c r c COUNTY OF i Tn ku c
,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisc*45`day of /)I P 20 1&by this,2��day of M A-11! ,20-1-4o by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Nota ublic-State of Florida) (Signature of Nota blicc--State of Florida)
Personally Known!Leo< OR Produced Identification Personally Known ORiProduced Identification
Type of Identification Type of Identificatio Produced
""'• DOROTHY ANN BASKIN
�O�PµY PVB�,�i �.SpRY PV'i DOR '
Commission No. ;_+ �: Notary gahlk-State of Florida Commission No. A s a* �T '��1N BASKIN
R i: Notary Pu lic_State of Florida
;•« .•? My Comm.Expires Oct 2,2016 «
Commission#FF 015226 MY Comm.Expires Oct 2
Bonded Through National Notary Assn. of F� .•`1 on#FF 015226
'"""'" Through National Nota
Revised 07/15/2 Bonded Thg Notary Assn.
REVIEWS FRONT ZONING . SUPERVISOR PLANS VEGETATION !''' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW i. REVIEW REVIEW
DATE
COMPLETE
INITIALS
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