HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCAELE INFO USC BE COMPLETED FOR APPLICATION To BE ACCEPTED n !
Permit Nu
Date:
mber:
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Building Permit Application
Planning and Development Senesces
Building and Code Regulation Division
2300 VrginiaAvenue,Fort Plerce FL34W
Phone:(772)462-1553 Fax:(M)46-2-1578 Commercial Riesidential
PERMIT APPLICATION FOR: To Select from dropbox, tick arrow at the end of line
PROPOSED IMPROVEMENT LOCA ION:
Address. �y � .za vim- Port St.Lucie 34952
Legal Description:pad of 3414-501-1701-OilM-Spanish Lakes One
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Property Tax ID#: Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side:- Left Side:
DETAILED DESCRIFTI ION OFWORK:.
Demolition of mobile holne
CC?i\ISTRL#UION Additional work,to a performed under t is.66rrnit—c ec c a apply:
L._IHVAC E]Gas Tanic as Piping U strutters Windows/Doors
UElectric LJ Plumbing FlSprinklers EJ Generator O Roof
Total Sq.Ft of Construction: .Ft.of First Floor:
Cost of Construction:$ Utilities:C]Sewer n Septic Building Height:
OWNERAESSEE: CONTRACTOR.'
NameVOJnne Buiiildin9 COrPOra*m Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 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 cjw. Port SL Lucie
State--
Phone
tatePhone No.772-878-5513 Zip Code: 34952 Fax 772-878-M4
E-Mail:s -' Phone.No. 772-978-5-513
Fill in fee sirnpie ride Holder on next page(if diterent E-Mail:s wY ebc c orn
from the Owr 'listed above) State ar County License- GGCO359N
If vatue of construcUdn is$2500 or more,a RECORDED Notice of Commencement is required,
SUPPLEMMEN SAL CONSi RUCTION IOM LIEN LAW INFORMATION:
0ESIGRIER/ENGINEER: Not Applicable MORTGAGE COMPANY: �Not Applicable
(dame: Name:
Address: Address:
City: State: City: - State:
Zip: Phone: Zip:: Phone:
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FEE SIMPLE TITLE HOLDER- Not Applicable BONDING COMPANY: Not Applicable
Name: Name: y
Address: Address: i{
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or instailanon has commenced prior to the issuance of a permit
St.Lucie Counter makes no representation that is granting permit will authorize the permit holder to build'the subject structure
which is in.conflict with-any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting ofthis requested permit,I do hereby agree that t will,in ail 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,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to R , a Notice of in your 'stg twice for
improvements to your property.A Notice f Commencement must be recorded and pnst on the jobsite
before the first.inspection. If you intend o obtain financing,consult with lender or att rney before
commend work or recordinWyour ce of Commencement
i
100
s
Signature_of Signature of ContractdrILicense Molder
SATE OFLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF.sL uxie
r
The forgoing instrument was adcnowiedged before me The forgoing instrumentvwas acknowledged before me
this t #ayof�sE]c��t ..2-0�i�ty this ay of �.2t3 \11 by
Mawrew Lyte Vtymt A1-*—Lyfe Wy—
(Mame of ackn (Name of pe o niledging) /
(Signature-of Notary x X
Public-State or►da) (scigna re of Notary Public-State of Fbrida
.,
Personally Known OR Produced Identification Personally Known OR Produ dentification
Type.of Identification � Type of Identification Produced
.glrtiY'!`;.k;., SUSAN MAGEE — r
Commission No. 'r' = Pv':Y GOMA4( dtl�i FF 187647 � _ Comniiission No. � ;,�°"Y �,, S GEE
EXPIRES:February 23,2419 NtY GFF 187647
londed Thra Notary Public Undenvdtar� ?+ ti V' EXPIRES.FebR(ary 23,2019
Revised-07/15/2014
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.-34962
Phone;(7721462-2172 Fai V72)462.6443
-Asbestos Notice to Contractor
September 26, 2017
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE.
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1709-0399
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.
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Signature
Date
9/26/2017 1.1:24:04 AM