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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLE rED FOR APPL'CAT'ON TO BE ACCEPTED _ Date: Permit Number: ;rte - V= Building Permit Application Planning and DevelopmentSeadbes Building and Code Regulation Division 2300 Virginia Avenue,Fort Fierce FL 34982 Phone:(772)462-1553 Fax:(772}462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, crick arrow►at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 5 - Port St Lucie 34952 Legal Description pad of 3414-501-1701-00019-Spanish Lakes One Property Tax ID#- Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: night Side: Left Side: DETAILED DESCRIPTION OF WORK: Demolition of mobile horde _ CONSTRUCTION INEORMA T ION: Additional wort to OGasTank epeorme un er t is permit—c et t a app y: HVAC �Cias Piping _Shutters FlWindows/Doors OElectric F�Plumbing ❑Sprinklers O Generator O Roof Total Sq.Ft of Construction- So.Ft of First Floor: Cost of Construction:$ ��a UtilitiesSewer nSepfic Building Height: OWNERAESSEE: CONTRACTOR: Named Building Corporation Name: Matthew Lyle Wynne Address.8000 South US 1,Suite 402 Company:Wynne Development Corporation City: Port St.Lucie State:E? Address: 8000 South US 1,Scute 402 Zip Code: 34952 x:772-878-0224 City_ PortSt.Lucie State:FL Phone N0.772-878-5513 Zip Code: 34952 Fa=772-878-0224 E-Maihsue@wynnetic-©om Phone No. 772-878-5513 Fill in fee simple Tile Halder on next page(if dUl6virt E-Mail:sue@wynnebc com from the Owner fisted above) State or County License: CGCO35999 at value of construction is$25W or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL-CONSTRUCTION LIEN.LA -INFORMATION.: DESIGl 4ER/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.• Prone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie lou�r makes no representt� orr that is grarsEing a permst will authorize the holder to build the subject structure whidr is in carrfiid with any applicable Home Owners Assocratron 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 additions, accessory structures,swimming.pools,fences,walls,sot%screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Comnmwement may result in your paying twice for improvements to your property-A Notic0_of Commencement must be recorded and posted on the' bsite before the first inspection. If u intend to obtain financing,consult with len er or an attorney b ore commend work-or r Ing your Notice of Commencement _.Signature of OwneO em NgRare Hiro r 4 STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sc euae COUNTY OF sc tuae The fo olng instrument was acknowledged before me The forgoing instrument was acknowledged before me this- day of this clay of >S�s�,20 �� by mamnawI-,wVWM.&J- Lyft Vity— fWar of person acknowledgin (Name of cmawted I -jam rgnateureof Notary Public-State da} azure of Notary P ,lic-State rida) Personally Known x OR Identification Personally Known x OR educed identification Type of Type of Identification Produced ,M SUSAN MAGEE _ _ Commission No. "s r : MY COMMIS{ IAF 187647 Com aI� EXPIRES:Feb 2019 Y p" •>� ruasy 23, ,,�1�;: ��: SUSAN MAGEE Bonded Thio Notary Public Undorwriters MY OM "Tl `M•' _ ''' ' �;Ps EXPIRES:February 23,2019 Revisedff7/I5I2014 ' Bonded Thru Notary Public Undewdters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Planning&Development Services ASBESTOS NOTICE Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce,FL. 34982 Phone:(772)462-2172 Fax:(772)462.6443 Asbestos Notice to Contractor August 25, 2017 WYNNE DEVELOPMENT CORP MATTHEW WYNNE 8000 S US 1 STE 402 PORT ST LUCIE, FL 34952 RE: Building Permit Number 1708-0553 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. Signature Date 8/25/2017 10:21:33 AM