HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��� Permit Number:
" -:: RECEI`7-:D APR 0 7 2017
Building Permit Application
Planning and Development Seadces
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(172)462-1553 Fax:(772)4621578 Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, dick arrow at the end of line ib4.vv*.,d
PROPOSED IMPROVEMENT LOCATION:
Address !s UK--)c Port St. Lucie 34952
Legal Description.partof 3414-501-1701-00019-Spanish Lakes One
Property Tax ID#: Loft No.
Site Plan Name: Block No.
Project Name:
Setbacks From Back Right Side:' Left Side:
[DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
itiona war i to [epe( orme under this permit—check a appy:
E]HVAC LJ Gas Tank Gas Piping _Shutters E]Windows/Doors
Electric Plumbing FISprinklers Ll Generator O Roof
Total Sq.Ft of Construction: Sq.FL of First Floor:
csC�1 �'�{
Cost of Construction:$ �? Utilities: Sewer L_ISeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameVVYr=Buildinfl'CotPoration Name: Matthew LYie 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. PortSt.LucieState=FL
Phone No.772-878 513 Zip Code: 34952 Fwc 772-8784)224
E-Mail:sm@vwynnebe•corn Phone No. 772-87"513
Felt in fee simple Title Holder an next page(if ddf erent E-Mall:sue@wflm ebc.csom
from the Owner listed above) State or County License: CGCO35999
If value of construction is$2500 or more,a itECOWED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORIVIATIM
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: Tip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie County makes no representation that ns gran#ng a permit will authorize the holder to build the subject strin1w
which is in conflict with any applicable Home Owners Association rules,bylaws or and permit
that may restrict or prohibit s ch
structure.Phase 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 addiidons,
accessory structures,swimming pools,fences,walls,sqp%screen rooms and accessory uses to another non-residenda
WARNING TO OWNER:Your failure to Record a Notice of may result in your paying " for
improvements to your property.A Notici�of Commencement must be recorded a posted o e jobsite
before the first inspection. If you intend obtain financing,consult with len ran atto y before
commencingw or r i our ice of Commencement.
s
_Signature of owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL uiae COUNTY OF sL u,*
The fo oing instrument was acknowledged before me The oing instrument was acknowledged before me
thisay of .r A, 20):!i-by o c-t, .20 by
mama.Lyle wfl.4- Maul w Lyle My—
(Name of person acknowledging) (Name of pe acknowledging)
gn a-of Notary Public-State of `i33 of Notary Public-State ofr )
Personally Known x OR Produced Identification Personalty Known x OR Prod identification
Type of Identification Produced Type of Identification Produced
Commission No. _ Commission No. (Seal)
SUSAN
MAGEE
.:' : MY COMMISSION#F
:.: EXPIRES:February 23,2019 I€ ?. MY COMMISSION#FF 187(s�7
Revised-07/15/2014
� `" ' l BondedThmWar/PubkUnderwiters -. :e� EXPIRES:Februa 23 2019
;;..
F3ondedl7iruitlotar/PubMcUndamrriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Pian,ningBDevelopmentServices. ASBESTOS NOTICE
:Building&Code.Regulation Division,
2300*rgWa Avenue.
Fort Pierce,FL.-34982 -
Phone:(772)4624172 °Fax:(772)462.6443
Asbestos Notice to Contractor
April 07, 2017
WYNNE
MATTHEW WYNNE DEVELOPMENT CORP FILE
FILC,uF•-,.
8000 S US 1 STE 402 !�
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1704-0133
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.
Sig ure
Date
4/7/2017 10:32:28 AM