HomeMy WebLinkAboutpermit application ALL APPLICABLE INFO MUST BE COMPLETED
FOR AP P13f1�if Ht�T�BE ACCEPTED 1
Date: Permit Number.
?n� .� ..
Building Permit Application
Planning and DevelopmentSeWdes
Building and Code Regulation DiWslon
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(7721462-1553 Fax:(Trz)4521579 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of fine
PROPOSED_ MPROVEMENT LOCA%lO a
Address: Port St.Lucie 34952
Legal D p i. part of 3444509-1701-OOM Lakes One
Property Tax ID W Lot No.
Site Plan Marne. Block No.
Project Name;
Setbacks Front Back: Right.Slde: Left Side.-
DE�`A1�E� �ESCRIP 1[0 C)E.WOR#�:; .
t
Dermolifion of mobile home
Additional wor-I o eer#ormed urer t is permit -c e t a _apply:
1DGas Tacnk ig Shutters
rs 0 Windows/Doors VAC i
(JElectric F1 Plumbing Sprinklers E]Generator O hoof
Total:Sq..Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities Sewer Septic Building Height:
OWNER/LESSEE: .:.
NameViiYnm Bind M Corporation Name: MaMew Lyle Wynne
Addtess:8000 South US 9,Suite 402 Company:Wjmrie Development Corporaon
City: Pott St.Lucie .State-FL Address:8000 South US 1,Suite 402
Zip Code:34952F .772-878-0224 City.Port St Lucie
Phone No.772-878-5513 Tap Code: 34051 Fes.772-878-0224
'E-Mail:sue@i V Ynnebc.com Phone No.772-878-5513
Fill in fee simple title Hokkr an npd page(if d:ffiei� E-Mail:wm@wynnebc.com
from the.Owner listed.above) State or County License: CGCO35999
IF value of construction is$2500 or more,a RECORDED Mortice of Commencement is required.
11
1 PPL.EMIENTAL CO NSTa`UC71 ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
PEE 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.County makes no representation that isgmnting a;permit will authorize the it 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 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 1 will,in all respects,perfo the work
in accordance with the approved plans,the Florida Building Codes and St Lude County Amendments.
The following building permit apprisaiions are exempt from undergoing a full concurrency review:room d",tions,
accessory structures,swimming pools,fences,walls,signs,.screen rooms and accessory uses to a " non-residential use
WARNING TO OWNER:Your failure to Record a Notice of may result." erg twice for
improvements to your pmding
.A Notice of Commencement must be recorded a posted on the jobsite
before the first ins ctiu intend i o obtain financing,consult with lend r an attorney before
commend w r reour Notice of Commencement,
s
Signature of Owner/lf--see/Agent Signature of Contractor/License Holder .
STATE OF FLORIDA STATE CIE FLORIDA
COUNTY OF sL Lucie COUNTY OF sL Lucie
The for oing instrument was adatowledged before me The-forgoing instrument was acknowledged before me
this`�-V� of g c z� ���.� 2t? — , this ay of Oc,�.a.+�.-,201'C-) Say
idautrew Lyle VVyRn� h wu—Lyle V4-*
(Name of person acknowledging) (Name of p acknowledging)--
ignature of Notary Public-State arida) -ftlrdtureet Notary Public-State of da}
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Typeof ldentfi Type cif Identtification Produced
SUSAN MAGEE =°=,,;,
Commission No.17,12
_„MY COMMISSIOJ%F 117647 Comm n t :Y .g SUSAN MAGEE EXPIRES:Febntary 23,2019 +` *_ MY COMMISSI(?N fl FF 187647
ic°''
Bonded ThruNut2ryPublic Undewiriters �(;��o EXPIRES:Februa 23 20i9
,F a' one ru otaryPublicundenvrifers
R`evised 07f 1;J12014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVD REVIEW REVIEW
DATE
COMPLETE
INITIALS