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
I
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: 40 SPANISH WAY
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.40
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 25' Back: 242" Right Side: 15, Left Side:! 15'
DETAILED DESCRIPTION OF WORK-:
DRIVEWAY - 25X14 AND 44X12
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
CONSTRUCTION INFORMATION:
itiona .wor to e e orme under this permit—check all appy:
C�HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator E] Roof
I i
Total Sq. Ft of Construction: 878 SCI. Ft.of First Floor:
Cost of Construction:$ 1,844.00 Utilities:0 Sewer Septic 'Building Height:
,I
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:(772)878-7656 City: PORT ST. LUCIE State:FL.
Phone No.(772)878-5513Zip 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$2500 or more,a RECORDED Notice of Commencement is required. ..
I ,II
I
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: State:
Zip: 34996 Phone: (772)287-8258Zip: Rhone: i
FEE SIMPLE_ TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
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 and posted on the jobsite
.before the first inspection. If you intend to obtain financing,consult with lender organ attorney before
commencin work or recordin our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License;Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-r. COUNTY OF c 1r
The for ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisaco'day of yV1►4�-I 20 16 by this dg��'day of V"A-tj ,20_1J,by
l Z �cF L LIn,4r
(Name of person acknowledging) (Name of person acknowledging)
I�
(Signature of Nota ublic-State of Florida) (Signature of Nota blic-State of Florida)
Personally Known v OR Produced.Identification Personally Known i,-�OR Produced Identification
Type of Identification
Type of Identifica io `��„, YP
{iV P(,
o� ai,'% g •oi�a`Poet,, DOROTHY ANN'a
AKIN*� Notary Publ1,'��eal ate of Florida Commission No. ;r+ �= NotaryFutvft IJ
Commission No. - Comm.f�zpire Oct 2,2016 ?•„ State of Florida
9, Po; Commission#FF 015226 N� '� MY Comm.Expires Oct 2,2016
{ ,�F OF FI.OII` P��.��` CO
S0 '""""11 Bonded Through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 'i SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
'I