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APPCiCAB INFO USr BE COMPLETED FOR APPLICATION TQ_ BE ACCEPTEDte: adL!7- Permit Number
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Building Permit Application
Planning and Development Semcm 1
8utlding and Cade ReguiatPon Mrision
.23W Virginia Avenue,Fort Pierice FL 34982 �
Phone.(772)4621553 Fax.(M)4621578 Commercial Residental
PERMIT APPLICA11ON FOR: To Sekxl tom dropbox, dick arrow at the end of lime
PROPOSED JMPROVEMEN i LOCATION-
Address: : Port SL Lucie W52
Legai Description:pad of 3414-509-9709-t 9-Spanish Lakes One i
Property Tax ID-#: Lot No,
Site Plait Name: t Block No.
Project Name;
Setbacks front _. Rile Side--_Left Side;
)ESCRIP`T1 ON,OF'uORK 1
Del wIrd'on of mot9le home
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LCONSTRUCTION,I�FORMATIOW t
MOnai work to be nPryormed under t is permit—check c a app y:
,HVAC Gas Tank Gas Piping Lj_Shutters ]Windows/Doors
Electric U Plumbing Sprinklers Generator itcrof
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Total:Sq_.Ft of Construction: .Ft.of Fwst}Floor-
Cost
Flor_
��oII�
Costo€Construction: tltilitles$.' Sewer I..JSeptic Building Height: f
OWNE,R/.LESSEE:- CONTRACTOR:
NameWYBt td g Cnt}tttr Mame;Matthew L.yie 1tYmne
Address.-WWSotdlt US 1,Suite 402 Company.Wynne Development Corporation
may;Pott SI Litre State=- Address:8000 South U51,Scute 402 {
4p Code:34952 x-772-878-0224
City:Port St.Ltd FL
Phone No.772-878513
Zap Code:MR Fax €
E-Mail:sueQvgnneb, com 772-878-5513Phone Ala_
Fill in fee dmPle'Title Holder on next page(if M%m* E-Mail.
fiord#w � a CGti�it3599,4
t State or County t_icense-
lt value of cal tructtun is$2500 or more,a REC(MDED Notke of Commencement is required.Bred.
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SUPPLEMENTAL CONSTRUC-1-ION LIEN LAW INFORMATION:
DESIGIVER'/ENGINEER: Not Applicable MORTGAGE COMPANY: � Not Applicable
Name: Name:
Address:- Address: I
City: State: City: State: I
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City`
Zip_ Phone: Zip: Phone: i
I certify that no work or insmiiation has commenced prior to the issuance of a permit.
St LucieCaurnijty makes no representation that is granting a permit well authorize the permit holder to build the subject structure
which is in.cointlict 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 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St,Lucie County Amendments.
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The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessary structures,swimming pools,fences,Ovalis,signs,screen rooms and accessory uses to another non-resld ' I usel
WARNING TO OWNER:Your failure to Record a Notice of may resu t.in your payl twice for
impro�rerrients to your property.A Notice of commencement must be recorded and posted the jobsite
before the first inspection. If you i end fo obtain financing,consult with tend ar an att ey befrire
commencing work or recur ' r.iilatice Commencement
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_Signature.of Owruerf lessee/Agent Signature of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sol COUNTY OF s.utrie
The forgoing instrument was aclrnowiedged before me The forgoing instrument was acknowledged before me
this'd day of 2fl)Eloy thb2QL_clay of�;I giy. .20 C) by
Mm—LytaVVO ktu:,t pew LyleMVytrne
(Nameof acknOwled�giing) {Name of cknowtedging-)
Signature of Notary bIf -State of iiorida) { igna re of Notary P lic-State of rida)
Personally Known x OR Produced identification PeMrWly Known x OR Produced identification
Type of Identification Produced Type of I Produced
rte * _ '" _, SUSAN MAGEE
Commission No_ ;,u S—��EE--� Commis o - R 7bftSSfgN#FF 187647
:... US ;;;., 'a= EXPIRES:
MY COMMISSION#FF 1&7647 Foa..oFebruary 23,2019
Revised(?'II1 S1 %j qa;j°` Bonded Thru Notary Pub 1 c 1lndenirmers
2 - .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION sEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW RMEW REVIEW REVIEW
DATE
COMPLETE
=1NMALS
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Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34962
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
November 28, 2017
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1711-0645
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
(� 1 -7
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Date
11/28/2011"11:20:25 AM