HomeMy WebLinkAboutBuilding Permit Application i '
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: Permit Number:tic
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 1 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the?end of line
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3427-111-0002-000/5 S apish Lakes Riverfront 1 k�,
Legal Description: P
Property Tax ID#: I Lot No.
Site Plan Name: Block No.
Project Name: I "
Setbacks Front Back: Right Side: Left Side:
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111,111 rM Wall
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Demolition of Mobile Home
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itiona wor to e e Orme un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
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Electric 0 Plumbing
OSprinklers -Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
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Cost of Construction:$ 500.00 Utilities: SewerE]Si ptic f ; Building Height:
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Name Wynne;Building Corporation Name: Matthew Lyle Wynne
Address:8000,South US 1, Suite 402 Company: Wynne Deveiopment'Corporation
City: Port St. Lucie State:FL Address: 8000 South US j1; Suite 402
Zip Code: 34952 Fax: 772-878-0224 City: Port St. Lucie State:FL
Phone No. 772-878-5513Zip Code: 34952 ; i Fax: 772'878-0224
E-Mail:sue@wynnebc.com Phone No. 772-878-5513!•,
Fill in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
from the Owner listed above) State or County License: dbC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: I° I State:
Zip: Phone: Zip: Phone: '
FEE SIMPLE;TITLE HOLDER: _Not Applicable BONDING COMPANY:f'' Not Applicable
Name: Name:
Address: Address:
City: City: i
Zip: Phone: Zip: Phone:,
I certify that no work or installation has commenced prior to the issuance of a permit. 1
St. Lucie County makes no rep sentation that is granting a permit will authorize the permit holder to uild the subject structure
which is in conflict with any ap licable Home Owners Association rules,bylaws or and dovenants that' ay restrict or prohibit such
structure.Please consult with y ur Home Owners Association and review your deed for any restriction which may apply.
In consideration of the granting f this requested permit,I do hereby agree that I will,in all respects,pe orm the work
in accordance with the approve plans,the Florida Building Codes and St. Lucie County!Amendrients.
The following building permit apl lications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming I ools,fences,walls,signs,screen rooms and accessory)uses to another on-residential use
WARNING TO OWNER:You failure to Record a Notice of Commencement may res;)"It in y ur paying twice for
improvements to you pro arty.A Notice of Commencement must be recorde and p sted on the jobsite
before the first inspe ion. f you intend to obtain financing, consult with!len dor a ' attorney before
commencingwork o Ing your Notice of Commencement.
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_Signature of Own /Lessee/Agent Signature of Contra r/License Holder
STATE OF FLORIDA STATE OF FLORIDA II'
COUNTY OF SL Lucie COUNTY OF st.Lucie
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The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this\l y of ,.� 20 aby this K day of 20 �'cA_by
Matthew Lyle Wynrf&- Matthew Lyle Wynne I'
(Name of person acknowledging) (Name of person cknowledging)
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(Si ture Notary Public-State of Flori ( Ignature of Notary Public"Sta a of Florida
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Personally Known x OR Produced Identification Personally Known x OR Produced entification
Type of Identification Produced Type of Identification Produced
Commission No. I, (Seal)
P ., sus Commission No. i,
*; COMMISS 01 #FF 187647
.. :o EXPIRES:February 23,2019 ,�9"Y' •; !SUSAN 'EE
�FF,31 87647EXPIRES:Februa ,2079Revised 07/,15/2014 BondedTliruNctaryPuerwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REViEW ! REVIEW REVIEW
DATE
COMPLETE
INITIALS �
Planning-&Development services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
FortPierce,FL. 34982 ;
Phorte:(772)462-2172 Fax:(772)462-6443 1
Asbestos Notice to'Contractor
January 19, 2018 1
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US.1 STE 402
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PORT ST LUCIE, FL 34952
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RE: Building Permit Number 1801-0437
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and ito notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance-with state and federal
law. L;
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Signature
Date
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1/19/2018 11:10:59 AM
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