HomeMy WebLinkAboutBuilding Permit Application :"Af is APPLI.GAB a iNFo M.U.ST 8 : oMP>!ETED:Fdk 4PL1 00'"N'Td-iBACCEPTED I
pate: Permit Number.
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:.,..;.; .; . . •• St. Lucie County, FL <..
Building and Code Regu/ation'Division
230D Virginia Avenue,fort Pierce FL 34982
'.'?';66e"'(772)462-155'3: Fax:('772)462-x578 Commer. ia1 -Residehtia) N
PER_M'YT APPLICATION FOR:; -Other
Address .2 MAYA;LANI~
Legal'Desciipiion: SECTION•26/TOWNSHIP36s; RANGE,40e-
Property,Tax-ID'#:,: 14-501-170'i-000/9•. Lot No.2
Site Plan'Na'm : SPAIVISH-LAKES'OIVE Block No;
'Project Name•
,Setbacks ront`1 V3't Back:'30' Rigtlt Side: 'i�" Leff Side:'28'9 7
DRIVEWAY 427"XI2'AND 9'X12'
25.00PS1 -4"THICKNESS
THEbRIVEI7-AY DOES NOT BUTT UP TO THE k4OBILtHbmU
itiona wor o e e orme un er t +s perms --c ec a appy.
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Efiec'tric ''Plurn bing- SprinklersGenerator EI
Roof
Total Sq.Ft of Construction: 612 Sq.Ft.of First Floor:
Co stgconstriici ii?n:$ X285"00 citilities: Sewer°Septic Building Height;
_ g
Name, N6 BUILDING CORPORATION Ndhte:''MAII'IIEW LYLE WYIVNE •..
Addres§:8000.SOUTH US HWY. 1 SUITE 402 Company:'WYNNE 10EVELOPMEIV`G CORPORATION
City; PORT ST.LUCIE State:FL' Address: 8000 SOUTH US HWY."1'SUITE 402-
Zip
02Zip CodQ, 34952 Fax:{772)••878-7656 . PORT ST.LUCIE FL
• -- City:--- State:
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.dn!nex#•page(If different E-Mail-
from the Ownerllsied above) State'or'County License: 8898 '
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
899-J LL00/LLOOd 928-1 999L8L8ZLL dA03 suipiino euuAM -Woad 9t:80 9L,-8Z-OL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: BRADENBBRADEN 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 FLORIDt STATE OF FLORIDA
COUNTY OF �Jf` L xtp— COUNTY OF LIiC_Le—
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this day of 2011b by this Q-q day oflC' he�— 20 by
(Name of person acknowledging) (Name of person acknowledging)
46� E > L,,-C cs
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known Y— OR Produced Identification Personally Known OR Produced Identifica i
Type of Identification Produced entification Produce • �
Florida Y pu Notary
(��i �l r,l au Notary Public Stete r7 / o udka
CommissionNo. —►— �`�� �g`` _ KerriBudkaDtrmis on Nol��sX.�? ��tt���
a My Commission FF 7 �c � bs oS12 12 2 978543
• Expires 05125/2020
sr o� Expires 0512512020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS