HomeMy WebLinkAboutBuilding Permit Application FFDate:
PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t--�,r�
Permit Number. 1..E• 1 -9- �
Building permit Application
Planning and Development Seadces
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(Trz)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION-
Address: ice.\.-a '1l� Port St. Lucie 34952
Legal Description: part of 3414-501-170"=9-Spanish Lakes One
Property Tax 1D#: Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I,
Demolition of mobile horde
CONSTRUCTION INFORMATION:
Additional wrorcto be
perforin-edunder tispermit—c ecca appy:
]HVAC Gas Tank as Piping `_Shutters Windows/Doors
]Electric LJ Plumbing []Sprinklers ]Generator ]Roof
Total Sq.Ft of Construction: �f�sJC� Sq.Ft.of First Floor:
D '
Cost of Construction:$ Utilities:U Sewer]Septic I Building Height:
OWNERf LESSEE: CONTRACTOR:
Named Budding Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Sude 402 Company:Wynne Development Corporation
City. Port St. Lucie State: Address: 8000 South US 1,Suite 402
Zip Code:34952 Fax.772-8780224 City. Port St. Lanae State:FL
Phone No.772-878-9513 Tip Code: 34952 Fax:772-8784)224
E-Mail:svYynnebc-com Phone No. 772-87"51F--
Fill in fee simple Tide Holder on next page(ff different E-Malt:sueawynnebc.c om
from the Owner Puled above) State or County,Lrcense- CGCO35999
if value of Construction is$2500 or more,a RECORDED Notice of Commencement is required.
FF, s u PPLEMENTAL-CONSTRUCTION LIEN LAW INFORMATION:
DESI 3NER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
d
City: State: city: -- State:
Zip- Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: i,Not Applicable BONDING COMPANY: ' —Not Applicable
Name: R 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 CDunl,,,makes no representation that is granting a permit will authorize the:e it hold to build the subjectre
Or holder
which is in conflict with any applicable Home Owners Association rules,bylaws or an covenants that may restrict prohibit uch
structure.Please consult vft 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 Rodda Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review-room additions, prApit
accessory structures,swimming pools,fences,walls,signs,screen room and accessory uses to another non-residential
i
WARNING TO OWNER:Your failure to Reccyd a Notice of Commencement may result in your pa . for
improvements to your property.A Noti - Commencement must be recorded and poste!dlon ejobske
510f
before the first inspection.If you ince to obtain financing,consult With lender or an attorne efore
commencing work or-mcording you
of Commencement.
s
Signature of 6WYwl Lessee/Agent Signature PRWh_trasWP0jv96 Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL us* COUNTY OF sL ulcie
The€a mg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this=C%V of 20 Abp of 20'~` by
MUM-Lyft VW_
,N7Tfacknoowledging (Name of pesonn�icknowled gin
Signature-of Notary Public-State of FI (91jign-alille of Notary Public- 9WrIda
Personally Known x OR State of
Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission N
SUSA M G SUSAN MAGEE
MY COMMISSION#FF 187647 My COMMISSION#FF 187647
,aAr1hrb:t-e0ttlary 23,2019 '_9:15z�.. EXPIRES:February 23,2o19
RevisediV/1 ondedT[IruN�otafIPLlhlirilmd.-dters Bonded Thru Noteri Public undamifters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW- REVIEW
DATE
COMPLETE