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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION To BE ACCEPTED
Date: L ti� Permit Number.
Ia
RECE1V.-Q APR 0 77017
Building Permit Application
Planning and Development Seaddes
Building and Cade Regulation Division
23W Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462_1553 Fax:{772}4621578 Commercial ReSidenbai
PERMIT APPLICATION FOR. To Sdect from dropbox, dick arrow at the end of lime &,l,�o
PROPOSED IMPROVEMENT LOCATION:
Address`'\ \\�c� c _moo.�--�.h Port St. Lucie 34952
Legal Description. part of 3414-501-17014M9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Bight Sider Left Side:
DETAILED DESCRIPTION OF WORK: .
Demolition of mobile home 4
CONSTRUCTION.INFORMATION:
tttona wor c to [e e m
ore under this permit—c ec c a apply:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric El Plumbing Sprinklers Fj Generator Roof
Total Sq.Ft of Construction: Sci.Ft of First Floor:
Cost of Construction:$ L`�� Utilities. Sewer 0 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NamevWrine Buuding corPoration Name: Matthew Lyle Wynne
Address-8000 South US 1,SUM 402 Company:ane Development Corporation
City: Port St.Lune Stater Address: 8000 South US 1,Suite 402
Tp Code: 34952 x.772-878-0224 may: Port St.Lucie State-FL
Phone No.772-878-5513 Tip Code: X52 Fax 772-8784)224
E-Mall:S imnebc.c0m Phone No. 772-878-5513
Fill in The simple Title Holder on next page(if different E-Mail:sueyWnnebc.com
from the Owner listed above) State or County License: CGC03WJW
N value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUC I—ION LIEN LAW-INFORMATION:
SUPPLEMENTAL
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address: Address:
City: State: city: State:
Zip: Phone: Zip. Phone:
FEE SIMPLE TITLE HOLDER: i,Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
city:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie Counter
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 restrilt or prohibit
structure.Please consult vAth your Home Owners Association and review your deed for any restrictions which apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform work
in accordance with the approved plans,the Building Codes and St Lucie County Amendments.
plans,
e perform
'n;J
The following building permit applications a exempt from undergoing a full concurrency review:room additi s,
0
-d
t R our n
accessory structures,swimming pools 'ails,signs,screen room and accessory uses to another -dential use
,f w
WARNING TO OWNER.-Your fall; to Record a Notice of Commencement may result In your Ing twice for
improvements to your property. Noticfa of Commencement must be recorded and po on the jobsite
yo orn
before the first inspecti intend to obtain financing,consult With lend an a mey before
commencing work or r=odl your Notice of Commencement
s
Signature of Otw'-wl i"QAgent Signature of Copi%ctorllk&nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st-Lude COI.JNTY OF sL Lucie
The fo) Cling instrument was acknowledged before me The forgoing instrument was acknowledged before me
this
20 Lby of 20 by
Mwarew Lythe VqM4 MOW—Lyft Wy—
(Name of acknowledging),---- (Name of person acknowledging4--)
48ij�iature of Notary Public-State-137e-of Notary Public-State ofrids)
Personally Known x OR Produced Identification Personally Known x OR Produced tderrtfication
Type of Identification Produced Type of Identification Produced
CDMMISSIon No. li 111—N M.AGEE Commission No. (Seal)
MYCOMMISSION PFF18764728SUSAN;4EE,Rgig My eew'
-ululy ip rr
Wart Public Underroftem
1�!F EXPRES:February 23,2019
Revised D7/1512014 'Bonded Thru Notarl Public Underwriters
RWIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
Planning&DevelopmentSevices ASBESTOS NOTICE
Building&.,Cods Regulatlon Division.
2300 Virginia Avenue.
Port Pierce,FL_34982 .
P6'one:(772)462-2172 Tim(772)462-6443
Asbestos Notice to Contractor
April 07, 2017
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
FILE %P
RE: Building Permit Number 1704-0132
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
Signature
/ -7
Date
4/7/2017 10:26:47 AM