HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: n
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: 43 DEL PRADO
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.43
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 22' Back: 22'6" Right Side: 13'8 1/2" Left Side:' 13'8 1/2"
DETAILED DESCRIPTION OF WORK:
DRIVEWAY- 78X12
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
. Additionalwork to be nertormed under this permit—check all appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: 936 S . Ft.of First Floor:
Cost of Construction:$ 1,966.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:, _ f
Name WYNNE BUILDING CORPORATION Name: MATTHEW L'YLE WYNNE
Address:8000 SOUTH US.HWY. 1 SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State:FIL 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 Fax: (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$2560 or more,a RECORDED Notice of Commencement is required.
i +
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: IR
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADEN&BRADEN Name:
Address:alicocoNUTAVE. Address:
City: STUART' State: FL City: State:
Zip: 84996 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: Rhone:
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 thepermit 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 and posted on the jobsite.
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement. ,
Signature of Owner/Agent/Lessee Signature of Contractor/License,Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S G c C- COUNTY OF i �m c t e--
The
The forgojrg instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this cZA day of M � 20 11P by this o'Lo day of Y✓I�-Ll 20_L4oby
MA- 1C-w LY(rC% W yNNG i4nW&-W 4—YL67 INVA)NC
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota blic-State of Florida) (Signature of Notaryblic-State of Florida)
Personally Known � OR Produced Identification Personally Known OR!Produced Identification
Type of Identifi Type of Identificau �
.ol°•��� DOROTHY ANN BASKIN
OSPpV PUB�i�� J�1PRy POery�LOOROTH
ANASKINCommission No 02, o; NotaryPubli�s �te o1 Florida Commission No. r2 w Mog a e of Florida.' My Comm.Expires Oct 2,2016 'N r . ires Oct 2,2016 Onmmissien PP FF 0 15 26
o,- Commission#FF 015226 ; o` Bonded Through National Notary Assn. i'"����"�� tional Notary Assn.
Revised 07/
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DATE
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