HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IWO MUST BE CONIPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
RECEIVED
� Q
-_v Building Permit Application SEP Q 12017
Planning and DevelopmentServlces PERMITTING
Building and Code Regulation Division St. Lucie County,FL
2"Virginia Avenue,Fon:Pierce FL 34982
Phone:{772)462-1553 Fax:(772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Seled from dropbox, dick arrow at the end of lime
PROPOSED IMPROVEMENT LOCATION:
Address: ��-��� �C � c.-�n Port St.Lucie 34952
Legal Desaiptiorr part of 3414-5014709-OODJ9-Spanish Lakes One
Property Tax ID#: Lot No•
Site Plan Name: Block No.
Project Name:
Setbacks Front flack: Right Side: left Side:
DETAILED DESCRIPTION OF WORK
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional wor c to be performed un er t is permit—c ec c a aP€�y:
HVAC n Gas Tanis Gas Piping _Shutters F]Windows/Doors
Electric El Plumbing OSprinklers 0 Generator O Roof
Total Sq.rt of Construction: St�of First Floor:
Cost of Construction:$ Utilities- Sewer nSeptic Building Height:
OWNERAESSEE: CONTRACTOR -
NameVVYnne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St.Linde Stater Address: 8000 South US 1,Suite 402
Zip Code:34952 x.772-878-0224 may- Port St,Lucie State^
Phone No.772-878-5513 Zip Code: 34952 Fax 784)224
E-Mails wYnr1ebc•c0fn Phone No. 772-878-5513
Fill in fee simple Tide Holder on next page(if different E-Half:sue v ynnebc_tom
from the Own"listed above) State or County License: CGCt}35999
If value of comgmcdon is$2SW or more,a RECORDED Notice of Commencement is required.
f SUPPLEMENTAL CONSTRUCTION LIEN [.AW-INFORMATION:
DESIGhIER/ENGINEER. Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City"r 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 Cou�rr makes no representtaation that is granting a permit will authorize the holder to build the subject stnucwre
whidt is in conflict with any applicable Home Owners Assodation•rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for arty restrictions which may apply.
In consideration of the granting of this requested permit;I do hereby agree that I will,in all respects, the work
in accordance with the approved plans,the Florida Building Codes and St.Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another dentist use
WARNING TO OWNER:Your failure to Record a Notice of cna►rr�sult in paying twice for
improvements to your property.A Notice of Commencement must be recorded a sted on the jobsite
before the first in ion.If yo ` tend to obtain financing,consult with lender o an attorney before
commencing wo your Notice of Commencement.
S
_Signature of Owner)LABent Signature of Cffi6acWrjUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st-uoe COUNTY OF sL t x*
The -mg instrument was acknowledged before me The �,forgoing instrument was admowiedged before me
this a of t.,_&A- , 20 Z-� Y5"day of �cC "��.�.a�r .20 'n by
Mam—Lyb Wyc MemtEurLy(e Vytate
(lysine of person acknowledging) {Name of n acknowledging.
t re-of Notary Public-State of (Signature of Notary Pu lie- tate of da}
Personally Known X OR Produ Identification Personally Known x OR Pr"aced identification
Type of ldentM- . 'on Produced _ Type of "
SUSAN MAGEE
� Y•°1 .. SUSAN GSE Comj' ;r MY COMMISSION#FF 18764[$e
Gornrrt3Ssion MMISSI '"'' '87647 ruary 23,241t�3
o EXPIRES:February 23,2419 "` �4'` Bonded Thtu Rota Public tSnd nv i2ars
adc0.' 4r„F4'
Revised-0'7/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS