HomeMy WebLinkAboutBuilding Permit Application :AL•A APPLICABLE INFO MUST BE COMPLETED FOCI APPL'ICATI'ON TO'BE ACCEPTED
bate: Permit Number:
FIECady ?,
B.ui.lding•Permi't Apptication' ' OCT
Plphning:pnd9i v.e160.mentServices PERP0IT.TING
BuiO[i and Code Itegalation'Divisioh St. Lucie County, FL
2-900 Virginia Avenue,Fort Pierre FL 34982
Phone:(772)462-15,53 'Fax:-(772).462-1578 Commercial.: Resid ntialX '
PERMIT-APPLICATIOiV FOR: Other.:. .. .
IMMS
Address:••6•ISLANDIA,•.
legal Description• SECTION 26/TOWNSHIP 36s; RANGE 40e-
Property.Tax ID#: 3414-501=1709-00019 Lot No.6
Site Plan'Name:'SPANISH LAKES ONE' Block No.
~
Pro)ectName•
Setbacks front 17'7" Back: 27' • -'Right'
Side: 151 Left Side:
,a•
DMVEWAY- 73X,12 :
250OPSI -4°THICKNESS
THE••DRivENVAY DOES NOT BUTT UP TO THE MOBIL&HOME
7
Adcl
itiona wor o- e erforMea un er t is perM t—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters QWindows/Doors
EI'Electric D Plumbing Sprinklers Generator Roof
:Total 3q.Ft of Construction: 876 _ S '.Ft:of First Flow:
• Co§f:afConstruction::$' 1839.00 ' Utilities1f ewer-Elept-k Building Height:
ME C .
Name WYNNE BUILDING CORPORATION Name: MATTHEW LYLE WYN.NE•
address:8000-SOUTH US HWY. 1-SUITE 402 Company: WYNNE'DEVELdPMENT:CORPORATION
.City: PORT ST.LUCIE: State:FLAddress: 8000 SOUTH US:HWY:9-SUITE 402
Zip Code::84952 Fax:(772).878-7656'• City. PORT ST. LUCIE State:FL
Phone No.(772)87$-5513 Zip Code: 34952 . Fax: (772)878-7656
E-Mail: Phone No. (772)8?8-5513
*.-Fill in feesimple Ttle Holder on next page(if different E-Mail:
fronri-the Owner listed above) State or County License: 8898
If value of construction is$2500 6r more,a RECORDED Notice of Commencement is required.
899-d LL00/8000d 8Z8-1 999L8LKLL dA00 6uiplino auuAM -WObd -":80 9L,-83-OL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: BRAZEN&BRADEN Name:
Address:417 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 Cont actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF PS-LVGr e_
Thefor oing instrument was acknowledged.before me The forgoing instrument was acknowledged before me
this day of (riC.(-Ol�c/ 20 A6 by this ,7 day of l�Gf"D_v— 20 1k by
(Name of person acknowledging) (Name of person acknowledging)
- GSA
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known X- OR Produced Identification
Type of Identification Produced Type of Identification
Pr(o)duced
Commission No. r NotarJ(fidasateofFlo°da Commission No.t"i���) Poi Nota�(g�Bi State of Florida
i Kern Bud gsion FF 978543 e Kern Budka
3 a Comm v a 84 My Commisslon FF 978543
=% Y' p,CV ExP re OF R
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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