HomeMy WebLinkAboutpermit application ALL APPLICABLE IWO MUST BE COMPLETED FOR APPLWATION To BE ACCEPTED ,
Date: Permit Number:
Oft�ta
Building Permit Application
Planning and Development Seadces
Building and Code Regulation Division
23W Virginia Avenue,fort Fierce FL 34982
Phone:(772)462_1553 Fax:(772)462--3578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of fire
PROPOSED IMPROVEMENT LOCATION:
Address:�, �. � `� ��c� ��.� \Or_'4h.Port St.Lucie 34952
Legal Description• Part of 3414501-1701-00019-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back Right Side:° Left Side:
DETAILED DESCRIPTION OF WORK:
Demolfion of mobile home
CONSTRUCTION INFORMATION:
ION:
Additionaiworittobebe fined under this permit—check aapply:
HVAC !J Gas Tante []Bas Piping _Shutters FlWindows/Doors
I J Electric Plumbing MSprinklers 0 Generator O Roof
Total Sq.Ft of Construcdon: Sa.Ft.of First Floor:
CsO
Cost of Construction:$ > Utilities:13 Sewer QSeptic Building,Height:
OWNERAESSEE: CONTRACTOR:
Named Binding Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Sulte 402 Company:Wynne Development Corporation
City: Port St.Lucie State:FL Address: 8000 South US 1,Suite 402
Zip Code:34952 Fax:772-878-0224 City. PortSt.Lucie State:FL
Phone No.772-878-5513 Zip Code. 34952 Fax:772-878-0224
E-Mail:sue@wynneb-_-corn Phone No. 772-878-5513
Fill in fee simple Title Holder on next page(M afferent E-Mail:sue@trvynnebc c om
from the Owner fisted above) State or County License: CGC03WW
If value of construction is$2500 or more,a REC01WED Notke of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: r Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: State:
City: State: City:
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 CDun makes no representation that is granting a permit will authorize the permit hoWertobuild the;;ubject structure
which is in conflict with any.applicable Home OwfiersAs�on 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_
thefollowing building permit applications exempt from undergoing a full concurrency review: in additions,
moons
Your
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endo
0 -residential use
accessory structures,swimming pools, walls,sWs,screen rooms and accessory uses to a non
y
WARNING TO OWNER:Yk jr fai to Record a Notice of may in your paying twice for
r c
improvements to your prope .A Notjci�of Coff une"Cmmen=�ust�=7be e nd posted on the jobsite
P
0
before the first inspaeon. I u intend to obtain financing,consult_ d or an attorney before
co n
commencingwork e Ing your Notice of Commencement
s
Signature of dVowl L,--see/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st-uoft COUNTY OF st.uzie
The g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of �T-e 20 2by of 20 by
Matthew Lye.Vqwli-
(Name of perso
,A-��knowledging) (Name of person acknowledging)
(Signature-of Notary Public-State of —ftia—t—ure of Notary Public-State off fo%d-a
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Seal)
S MAGE
USAN 7E
MY COM ISSION#FF 187647 SUSAN MAGEE
864
MY LUMMUSION#FF 1
EXPIRES:February 23,2019 77
2a2oig
Bonded Thru Nota February 23 Revised07/15/20 Notary Public underwriters EXPIRES:Februa
BondM Thru Notary Public Uadlerwvd4dem
REVIEWS FROM ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE