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HomeMy WebLinkAboutBuilding Permit Application PP-PPP ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©ate: Permit Number. Building Permit Application planning and Development Seadbes Building and Code Regulation Division 2300 Virginia Avenue,Fort pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Atfdress: A%-k- C Port St. Lucie 34952 Legal Description.part of 3414-501-1701-00019-Spanish Lakes One Property Tax ID#: Lot No. Site Pian Name: Block No. Project Name: Setbacks Front Back_ Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Demolition of mobile home CONSTRUCTION INFORMATION: Additionalworktobenerformed under this permit--check a apply: 0 HVAC L_!Gas Tank as Piping FIShutters F Windows/Doors 11 Electric Plumbing F-15prinklers O Generator O Roof Total Sq.Ft of Construction: `��� .Ft.of First Floor: Cost of Construction:$ S� UtilitiesSewer USeptic Building Height: OWNERAESSEE: CONTRACTOR: Named Building Corporation Name: Matthew Lyle Wynne Address:8000 South US 1,Suite 402 Company:Wynne Development Corpoi~ation City: Port St.Lucie Stater Address: 8000 South US 1,Suite 402 Zip Code.• 34952 x.772-878-0224 Cky; Port Sit. Lucie -FLState- Phone No.772-878-5513 Tap Code.,'34952 Fax:772-87840224 E-Malt:sue@vyrnnebc.com Phone No. 772-87M513 FIN in Fee simple Title Holder on next page(if diff wem E-Mail:sue@wynnebc.c om ,from the Owner fisted above) State or County License:C'GCO359M if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.: DES1 R/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 un "I no representation that is granting a permit will authorize the permit holder to build the subject structure wh is 9%onW1cta%M 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 additio accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another n=r"idential use Ir Wf WARNING TO OWNER:Your failure to R a Notice of Commencement may resent in your nj twice ce for ')' f ng improvements to your pro A Notice Commencement must be recorded and post on the jo ite before the first inspEectiMou inter of btain financing,consult with lender or an att mey before n ..o commencing work Ing your once of Commencement S —Signature of Owtgrl Agent Signature ce Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sLuxie COUNTY OF sL uxle The 7forg ing instrument was acknowledged before me The forgoing instrument was acknowledged before me this" z of �byx this I L-f"day of R\N 20 1 by Matthew Lyle Vw-.?.- Mow—Lyle V4­ (Name of person acknowledging) {Name ackno 3Ri9n_a_tu -of Notary Public-State of Flodgayo -(Signature of Notary Olub—fic-_SUaS&Florida Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of identificali e Type of Identification Produced My COMM13SION#FF 187647 SUSMM AGEE Commission 140. EXPIRES:FAW13,2019 1 (S PW r'AA;h4'j6G1 FF 187647 Bonded Thru Notary Public Underwriters aEiX�PJR��Es' :February 2a,2019 Revised Ulf 15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS