HomeMy WebLinkAbout1606-0666 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
fill
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
RW
Address: 12 ANTIGUA
Legal Description: SECTION 26/TOWNSHIP 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 16' Back: 27'8" Right Side: 142° Left Side: 14'2"
RIS
DRIVEWAY- 73X12
250OPSI - 4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
Additional work to be pe Orme un er is permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows Doors
Q 1
11 Electric 0 Plumbing Sprinklers Generator Q Roof
Total Sq. Ft of Construction: 876 Sq. Ft.of First Floor:
Cost of Construction:$ 1839.00 Utilities:n Sewer a Septic Building Height:
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 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
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: BRADENBBRADEN Name:
Address:a17 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 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 or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF �� G t Lr COUNTY OF 57-, tlt4 ct c
The forgo' instrument was acknowledgedPefore me The forgoing instrument was acknowledged before me
thisQ2,L day of ��,c MC, , 20 1 by this ay of At L• 20_4 by
AA ri-He ,, LYL E N Y'vyy t ZZ�q raerw L yc.c W ylyw c
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ub/lic-State of Florida) (Signature of Not Public-State of Florida)
Personally Known V- OR Produced Identification Personally Known OR Produced Identification
Type of Identificati n rg use Type of Identification
OtPNV Pve1, OtPgV PUB"
z. , Notary Public-State of Florida . ,�: Notaryl bll State of Florida
Commission No. ' 3 y Comn(§t kes Oct 2,2016 Commission No. ' My Co a fires Oct 2,2016
Commission#FF 015226 =9� oo Commission#FF 015226
i,,.OF f—1 ii OF FLV,`�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
M
r�
r
r�
1
r
�f
J