HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number. � �� ��•, �t Q l t Q
Date:
Building Permit ,Application �
ftwing and Develo;nentSeadces ( '
Building and Code Regulafion Division
23W Virginia Avenue,F'or#Fierce FL 34982
Phone.(772)462-M3 Fax:(772)4621578 Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, dick arrow at the, of rme
PROPOSED IMPROVEMENT LOCATION ;
Address: '- ��— �J�`c� l_r .. Port St Lucie 34952 ;
legal Description
Part of 3414-5014704-00019-.Spanish Lakes One
I
Property Tax ID W Lot No.�
Site Plan Name: Block No.
Project Nance:
Setbacks Front #lack: Right Side: Left.Side:
DETAILED DESCRIP I ION OF WORK ; . .
Demolition of mobile home
1 '
,
CONSTRUCTION INFORMATION: � }'
r
Additionalworictolie erformed under this permit—check a apply- i
QHVAC Gas Tank as Piping _Shutters (i Windows/Doors
IlElectric t__1 Plumbing 05prinklers EJGenerator I,0 Roof
Total.Sq..Ft of Construction: .Ft.of First Floor. i' '
Cost of Construction:$ oU Utilities. SewerSeptie(i Building Height:
OWNER/}ESSEE: CON s RACTOR: I:
NameV%Y»B!� kQ Corporation Name: MatlltewiLyie Mane
Address:80Do South US 1,Suite 402 Company:WyFnnrie DeveXopmeirt Corporafton
City:Pod St.Lade Stater- Address:8000 South U$1.Suite 402
Zip Code.34952 FO?Z -878-0224 Cky, Port SL Lanae i
State.= �
Phone No.772-87"513 Zip Code:34952 I ; Fare T72-878-0224
E Mall:a? 'nYnrwbC com Phone No. 772-878 551
I„
Filt in fee dmple TfBe Holder en nextpage(if dWerent E-Mail:scre�wYr tebc;rpritn
f-cm the.-Owner tib above) State or County ticerns� CG9035M
, r
If value of construction is$25W or more,a RECORDED riartke of Commencement is required!.
' i
SUPPLEMENTAL CONSTRUCTION €IEN LAW INFORMATION: �
OES#G IER/EIVGINEER: Not Applicable MORTGAGE COMPANY: +„Not Applicable
Name:
Name:
Address: Address:
City: state: City: State:
Zip: Phone: Zip:. i Phone;."
;FEE SIMPLE TITLE IiCDLDER: Not Applicable BONDING COMPANY: i' _ Not Applicable
Name: Name: i J i
Address: Address:
city. Cly:
Zip: Phone: Zip: Rhone:
I certify that no work or installation has commenced prior to the issuance of a permit.
i
St Lucie.CounitW�r,makes no representation thatis granting a permit wip authorize the � it holder to build the subject structure
whic h is In cor►flict with any applicable Home Owners As§:P atron rules,bylaws"a=cssvenants that may restri -or prohibit such
structure.Please consult with your Nome Owners Association and review your deed for any r6trictions whichapply.
In consideration of the granting of this requested permit,I do hereby agree that 1 will,in ail respects,perform a work
in accordance With the approved plans,the Florida Building Codes and St i.ude County Amendments:
I iii
The following building permit applications are exempt from undergoing a fish concurrency review:room add" ns,
accessary structures,swinumng pools,fences,smalls,signs,screen rooms and accessory uses to anomer n ential use
WARNING TO E1►�l4FlNER:Your failure to. a Notice of may.resent in: Paying twice for
improvements to your pr rty.A ice of Commencement must be irecr3rded and; ed on the jobsite
before the first inspect' #f you ' tendo obtain financing,consult with #ender=ora ttorney before
commencing work9rTQbrdInR1our Notice of Commencement.
s
Signature.of 046il l essee/Agent Signature Contra rinse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF t. " .
a
Thefo oing instrument was adaiowiedged before me The for oing instrument vii s acknowledged before me
ttrig�'lay .�at� ''� .. 20 ZL.by #hi'S�DL'daay of ie �I c�`t1=.20 L'1 by
j1MatmewLyle Vw'yru- MatilkwtyteV4jraee j�,
(Name of perso cknawledging} / {Name of owl"edging)
a of Notary Public-State of State df Florid
Personally Known x OR Produced Identification Personally Known x OR Produ dentificaiion
Type of Identification Produced Type of Identifikation Produced
Commissio17m, co (Seal)
� AN MAGMY COMMISSION#FF 187647 {pRY RSUSAiV PYfAGEE
V '•...Vic . A EXPIRES:February 23,2019
3F3undad 11iruNotarfPuSiioUndorwriters �,`�,••, b,:Revise() %�p�„„ 0 Bonded Thru Nalaty Public Underwriters
REVIEWS FRONT ZONING SUPERV#SOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW! REVIEW REVIEW
DATE
COMPLETE .
INITIALS
f,
l
PlanningBDevelopmentServices ASBESTOS NOTICE
I Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL: 34082
Lhone:(772)462-2172 Fax:(772)462-6443
i
i
Asbestos Notice to Contractor
December 26, 2017
WYNNE DEVELOPMENT CORP r
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1712-0614
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutles and'to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
I ,
I ,
I
Signat12,
ure
i
i,
I
Date
�II
I
i
• I I
1
I I
I
Ali
' II
12/26/2017 12:58:05 PM i
I I
I '