HomeMy WebLinkAbout1606-0663 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (V1l�K °VlL►1
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
Address: 16 CORTEZ
Legal Description: SECTION 26/TOWNSHIP 36s, RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.16
Site Pian Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 10'4" Back: 12' Right Side: 16' Left Side:
w`�.,.`�.,-,
DRIVEWAY - 89X12
250OPSI -4" THICKNESS
THE DRIVEWAY DOES NOT BUTT UP TO THE MOBILE HOME
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itional work toe e orme under this perms —Check a apply:
HVAC F]Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
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11 Electric 0 Plumbing ]Sprinklers �Generator Roof
Total Sq. Ft of Construction: 1068 S . Ft.of First Floor:
Cost of Construction:$ 2,242.00 Utilities:]Sewer Septic Building Height:
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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.
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DESIGNERANGINEER: MO
Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADENSBRADEN Name:
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: 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 FLORIDA STATE OF FLOR)pA
COUNTY OF <-?" LAi c i t� COUNTY OF -r LtC
The forgo-iDg instrument was acknowledged efore me The forg. instrument was acknowledged before me
clay of �u NC 20 I by this�3 clay of J u rrE 20� by
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MA-rrM6W_ M'qy-Hel,-J L.Y('e- (NvN rvc
(Name of person acknowledging) (Name of person acknowledging)
L4�� _41P�& alet.� .
(Signature of Nota ublic-State of Florida} (Signature of Notaf4 Public-State of Florida}
Personally Known_ ".ZOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced�dft Type of ldentificat RY p
DOfjOTH ANN BASKIN ;°r°. �B` Notary Publ a J1 to of Florida
Commission No. AY PUa° (� �) Commission No.
Notary �t State of Florida _ , y Comm.�xptre Oct 2,2016
•; ;• My Comm.Expires Oct 2,2016 -?, °° Commission#FF 015226
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oomm*ee en #FF 015226
°;,� `'���~ Bonded Through National Notary Assn.
Revised 07/15/2 JA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:\u Cil
Part of 3414-501-1701-000/9 ; Section 26, Township 36s & Range 40E
(Tax ID/Legal description/Address)
.for which I have applied to St. Lucie County for a Final Development Pen-nit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property,St. Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St Lucie
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ACKNOWLEDGED BEFORE METTiTS �3DAY OF L4,y .20-1
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TOMEORW1i0HASPRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMWfTSSTON NUMBER
;�aY Pie, DOROTHY ANN BASKIN
Myl; Notary Public-state of Florida
My Comm.Expires Oct 2,2016
Commission#FF 015226
Bonded Through National Notary Assn.
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