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Building Permit Application
ALL APPuCAB INFO CIIDMPLE1ED FOR APPUCAVON TO BE ACCEPTED Date: 1� 1 Permit Number. L Bu iding Permit Application Planning and DevelopmentSeances Building and Code Regulation Division 2300 Virginia Avenue,Fort-Fierce FL 34982 Phone:(772)4521553 Fax:(772)462-1578 Commercial Residential PERM.'IT APPLICATION FOR: To Select from dropbox, dick arrow at the end of 1'me PROPOSED !MPRO}/EK4EN T LOCATION: Addr :'-kS Port St. Lurie 84952 Legal Description:part of 3414-501-17014)0019-.Spam Lakes One Property Tax ID#: Lot No. Site Plan Name:. Block No. Project Name: �- Setbacks Front Back: RightSide, Left Side: DETAILED DESCRIPTION OF WORK: - Demolilion of mobile horde CONSTRUCTION INFORMATION- [ itiona �work a eorme un ert ispermit—check aappy: 11j HVAC ED Gas Tania []Gas Piping _Shutters F]Windows/Doors ClElectric Plumbing Sprinklers 0 Generator O Roof i Total:Sq..Fr of Construction: Sci.Ft.of First Floor: Cost of construction:$ 3 Utilities:OSewer USeptic Building.Height: OWNER/LESSEE: C01 TRACTOR Named Btu M9 CorpotatiOn Name: Matthew We VVY ne Address•8000 South US 1,Suite.402 Company:Wynne Development Corpordlion Pott St L typeStarer- Address: 8000 South US 1,Suite 402 ZIP Code- 34952 Fax.772-878-0224 may-Port Ss.L ude FL Phone No.772-878- 593 Zip Code: 3+ 952 Fa)a 772-$78.0224 E-Mail;sueOMPI'lebc com Phone No. 772-8785513 01 in fee sample Mille HoUtewr on next page(if differed# E-Niall:&w@"nrwbc=n f m dile# xner listed:above) State or County License: CGCO359M tf value of construction is$2500 or more,a RECORDW Notice of Commencement is required. SUPPLEMENT AL CONS#RUCLIEN LAW INFORMATION: DESIG'NlaVENGINEER: Not Applicable MORTGAGE COMPANY., �Not Applicable Name: Maine: Address: Address: City: State: City: State: Zip: Phone: Zip:: Phone: PEE SIMPLE TITLE HOLI3EJR: _,_,_Nat 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.LucieCounty makes no representatron that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Assoclatron rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult v th your Home Owners Association and review your deed for any restrictions which may apply. in consideration of the granting ofthis requestedpermit,I do hereby agree that i wiii,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,swirruning pools,fences,wads,signs;,_screen rooms and accessory uses to another non-resid ' I use WARNING TO OlAINER:YtQeir failure tic a Notice>�€ may rrrlt.in your I tvmtce for Mimprobernents to your property.A N tce of Commencement must be recorded and steel n the jobsite ore the first inspection. if ou i end to obtain financing,consult with lender or att ey before commencing work or o Ing r Notice of Commencement. _mature.of Owner/Lessee/Agent Signature o€Contractor/licery�Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sL lace COUNTY OF.s.uxie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me tleislo�. day of Z�:Q\.3-e.. 20 � Lby thn a'4_day of Dov s,_L.L, _ .Zo \ 1 by MaimewLYna Sh'7+akMatA>EwLyle Wyruaa i (Nance of perso�acknowledgi� (Name of person acknowledging) ign re of Notary Pultlic--state of FI } (Signa re of Notary Publi -State of F�e r3da Personally Known x OR Produced Identification Personally Known x OR Produced identification Type.of Identification Produced Type of.identification Produced Commission Camrrsissaon No. (Seat) yw=f:,,pY."Yon, SUVAN lYitStiCE *: 't*? MY COMhq(SSIOt 1#FF 187fi4� ooiaflY pyoa, c RevisdMY CO MM1SS10N#FF 181647EXPIAES: _,•' February 23 Z19 4f,�,`•° Bonded Tltru tdatar,=public Undar'riters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE COMPLETE I INn IALS i S��LGGGG UOLl4 Planning l;,Development Services ASBESTOS NOTICE Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce,FL. 34982 Phone:(772)462-2172 Fax:(772)462-6443 I Asbestos Notice to Contractor November 28, 2017 WYNNE DEVELOPMENT CORP MATTHEW WYNNE 8000 S US 1 STE 402 PORT ST LUCIE, FL 34952 I RE: Building Permit Number 1711-0647 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. i ignature Date 11/28/2017 11:28:14 AM