HomeMy WebLinkAboutBuilding Permit Application !,r
ALL APPLICABLE!NFO MUST BE COMPLETED FOR APPU{ATION To BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Seadces
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION EOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: C� -�� � __ Port St. Lucie 34952
Legal Description: �of 3414-509-9704-000/9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: !Left Side:
-DETAILED DESCRIPI-ION OF WORK:
Demolition of mobile horge
CONSTRUCTION INFORMATION:
Additional wort to (^Ie De orme under this permit—check a apply:
HVAC L Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 'O Roof
Total Sq.Ft of Construction: S�of First Floor:
Cost of Construction:$ SZ�� Utilities- Sewer L_1Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Named Budding Corporation Name: Mew,Lyle Wynne
Address-8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St.Lucie Stater Address: 8000 South US 1,Suite 402
Zip Code:34952 x:772-878-0224 City- Port St.Lucie Ste:FL
Phone No.772-878-5513 Zip Code: 34952 Fax:772-878-0224
E-Mail:sue@wynnebc.com Phone No. 772-878-5513
Fill in fee simple Tide Holder on next page(if d'darent E-Mail:sue@wynnebmpom
from the Owner listed above) State or County License: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUC71 ION LIEN LAW-INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:: Not Applicable
Name: Name:
Address: Address:
City: State: City: - State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 Coun
makes no representation that is granting a permit will authorize the permit holder to build the su
which is in co Ict with any applicable Ham Owners Association rules,bylaws or and covenants that may restrict !bit such
structure.Please consult vAth your Home Owners Association and review your deed for any restrictions which may ply.
In consideration of the grarrtmg of this requested permit,I do hereby agree that I will,m all respects,perform the rk
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
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The foRov.4ni;building permit applications are exempt from undergoing a full concurrency review:room add
room
accessory structures,swimming pools,fences,walls,signs,screen room and accessory uses to another n dential use
tia
4 7 :g twice
WARNING TO OWNER:Your failure Notice of Commencement,may result in your i
':ord,8 p ur ng twice for
P of 0 jot
ommencement must be recorded Val po bed on the jobsite
improvements to your property.A I lci�of Commencement
a
before the first inspection. If you in-Eldcto obtain financing,consult with lender an orney before
commencing wodrevrecording Wur Notice of commencement
s
Signature or0_ZW1_Nesse Agent Signature of ContractorJLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.u,* COUNTY OF st.ux:b
The,forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
ssr�of 20VN Iyy of 20 N--\ by
Mamtew Lyle Vvymrc�` wwpaw Lyft Vvrm
(N (Name of pe Acknowledging.),--
-TS te of�pr�if) Public-State of F da
Sign of Notary Pu Stji (Si-gnature of Notary
Personally Known x OR Prodd Identification Personally Known x ORP of
Identification
Type of Identification Produced Type of IdenWication Produced
Commission No. Commission No. Seal,
My COMMISSION FF 187647
SUSAN E
2019 r
,'E......
S:February 23,2()18
EXPIRE
Revised 07 Bonded 711ru NotapiPuhli,Undenmters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TUR71E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW, REVIEW REVIEW
DATE
COMPLETE