HomeMy WebLinkAboutBuilding Permit Application } ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Pone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow�at they end of line
PROPOSED IMPROVEMENT LO.CATION
Address: � �. �'a\\-� cam._ S Fort Pierce 34951
Legal Description: part of 1301-111-0001-000/5-Spanish Lakes Country Club Village
Property Tax ID#: s' Lot No.
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Site' Plan Name: iI
n Block No.
P'roj'ect Name: I
Setbacks Front Back: Right Side: Left Side: k'
DETAILED DESCRIPTION OF WC)RK
Demolition of mobile home j I
GONSTRUCTIORINFORMATION:
, ; itiona wor to e e orme under this permit—check all appy:
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I HVAC _Gas Tank [:]Gas Piping _Shutters J a, Windows/Doors
g U p a I�
❑_ 5 rinklers Generator 1 Roof
Electric Plumbing
Total Sq. Ft of Construction: S Ft. of First Floor: I
Cost of Construction:$ C'SC3`� Utilities: Sewer Ll Septic ! ? Building Height:
OV1/NER/LESSEE = CONTRACTOR,: I -
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402 Company: Wynne'Development Corporation
CitY. Port St. Lucie State:F� Address: 8000 South US!1,, Suite 402
Zip Code: 34952 Fax:772-878-0224 City: Port St. LucieState:FL
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com 78-5513'
@�^�Y Phone No. 772-8
Fill Cin fee simple Title Holder on.next page(if different E-Mail: sue@wyn'nebc.com
from the Owner listed above) State or County License:iCGC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S'PPLEMI=NTA CC3NSTRUCTtON LIEN LAW INFORMATiON
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: i
r
Address: Address:
City: State: City: I' State:
Zip": Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:{, Not Applicable
Name: Name: J
Address: Address:
city: City:
Zip. Phone: Zip: jPhone'.
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I certify that no work or installation has commenced prior to the issuance of a permit.
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St.Lucie County makes no representation that is granting a permit will authorize the pefmit holder to build the ubject structure
whish is in conflict with any applicable Home Owners Association rules,bylaws or and covenants,that may restr ct or prohibit such
structure.Please consult with your Home Owners Association and review your deed forlany restrictions which ay apply.
In consideration of the granting of this requested permit,I da hereby agree that I will,in all respects,perform a 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 add' ions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another no residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in yo paying twice for
Improvements to your propeF-z
A Notice of Commencement must be recorde nd p sted on the jobsite
before the first inspection. If intend t obtain financing,consult with lien r a :attorney before
commencing work or recor our Na ce of Commencement.
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Signature of Own e a eejAgent Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA J
COUNTY OF st Lucie COUNTY OF SL Lune i
Thefor oing instrument was acknowledged before me The for oing instrument was acknowledged before me
tni§ day of , n Eby thisa day of r�c� r� jo 20 by
Matthew Lyle Wynn -- Matthew Lyle Wynne
(Nam°e of person acknowledging) (Name of pers acknowledging)
gnature of Notary Public-State of Fior' (S" naiure o Notary Rublic-State of� 1 da)
Personally Known x OR Produced Identification Personally Known xi OR,,Produced Identification
Type 'of Identification Produced Type of Identification,Produced
Commission No. ==?sYP� SUSAPtPrtA �al Commission No. (Seal)
MY MISSION 4 FF 18)1647 I;
} _ EXPIRES:February 23,2019 -7-1
8Mi!ed1bn- .'1 E
tdY COPAM15SI0N N,F'F 187647
Revised 0711512014 o EXPIrt>s:February 23,2o6t
I Bonded i hiu Notary Publlc Undenvdteis
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 'I SEA-TURTLE MANGROVE
1 COUNTER REVIEW REVIEW REVIEW REVIEW ( REVIEW REVIEW
DATE J.
COMPLETE
INITIALS i.
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Planning&DeveloprnentServices ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL: 34982
Phone:(772)462-2172 Fax:(772)462-6443
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Asbestos Notice to Contractor
December 26, 2017
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WYNNE DEVELOPMENT CORP
MATTHEW WYNNE,
8000 S US 1 STE 402 l
PORT ST LUCIE, FL 34952
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RE: Building Permit Number 1712-0608
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It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes andito notify the Department
of Environmental Protection of any intentions to remove asbestos when applical le in accordance with state and federal
law.
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Signature
I' Daite
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12/26/2017 12:26:26 PM
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