HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Q J t/
Date: Permit Number. ',( ()��! 043 9
mkogwL
=
Building Permit Applicationn
Planning and Development Seodces
Building and Code Regulation Division
2300 Vuginta Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: I ofline
• To Select from dropbox, dick arrow at the end of,lme
:PROPOSED IMPROVEMENT LOCATION., v.
Address:
��G,n Port St.Lucie 34952
ce�.ti..2 �
Legal Description- ! art of 3414-501-1701-000/9-Spanish Lakes One
I
Property Tax ID#: i tot NO.
SitePlan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side
DETAILED DESCRIPTION OF V!lORK
Demolition of mobile horse
CONSTRUCTION INFORMATION.-
,. • . . ` I . ._. .
Additionalwor c to e e Orme un er t is ermrt—c e c a a
a []GasHVAC L_=I Gas Tank Piping p g Shutters_ E]Windows/Doors
DElectric 0 Plumbing Sprinklers Generator a Roof
Total Sq.Ft of Construction: S .Ft.of First Floor.
i
Cost of Construction:$ �'SC� Utilities: _Sewer E Septic Building Height:
OWNi ft/LESSEE CONTRACTOR ilii I
Name Wynne Building Corporation Name:.Matthew Lytle Wynne
Address:8000 South US 1,Suite 402 Company:gym''Developynent Corporation
City: Port St.Lucie State•FL Address: 8000 South US 1,Suite 402
Trp Code: 34952 Fax:772-8784=4 City: Port SL Lucie State:FL
Phone No.772 878-5513 Zip Code: 34952 i Fax:772-878-0224
E-Mail:sue@wynnelc-com Phone No-772-878-0513
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:j CGC035999
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
„' i
•
SUPPLEMENTAL.ON$TRUCTIO i IEU.LAW NFORMATON:
5ES1d EVER/ENGINEER: Not Applicable MORTGAGE COMPANY: ! Y Not Applicable
Name: Name:
Address: Address:
City: State: City: i State:
Zip: Phone: Zip: i Phone:
I �
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:, Not Applicable
Name: Name:
Address: Address:
City:
C'tly: � 1
Zip: Phone: Zip: ; Phone: t
i
i
1 certify that no work or installation has commenced prior to the issuance of a permit.j
St Lucie Coup makes no representation that is granting a permit will authorize the permit holder to build the subje structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or rohibit such
structure.Please consult with your Home Owners Association and review your deed fo�any restrictions which may ply.
In consideration of the granting of this requested pe it,l do hereby agree that I will,in all respects,perform the rk
in accordance with the approved plans,the Florida uilding Codes and St Lucie County Amendments.
The following building permit applications are ex mpt from undergoing a full concurrency review:room addition ,
accessory structures,swimming pools,fences, ils,signs,screen rooms and accessory uses to another ran-res entiai use
WARNING TO OWNER;Your failure t Record a Notice of Commencement may nasnit in'yaur p ng twice for
improvements to your properly. otic,✓of Commencement must be recorded and post on the jobsite
before the first inspe n. If yo ntend�:o obtain financing,consult mrith lender an a rney before
commencingwor cordi our Notice of Commencement. 1
s
_Signature of Owner/Lessee/Agent Signature of Con License Holder
A i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.Lucie COUNTY CIF st.L4d.
l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'd of .oA-,A 20 Eby this\-- y of 20 by
i
(Name of person acknowledging) (Name of per n acknowledging)l
(Si ature-o€Notary Public-State of Florid Signature of NotaryPublic-State of no
Personally Known x OR Produced Identification Personally Known I X OR Produ d Identification
Type of Identification Produced Type of Identification Produced f
i
Commission No. Commission No. !
SUSAN MAGES '" "�
MY CC�MMiSS(ON#FF 587647 `'rs1C'e SUSAN MAGES
xA: E e tuaty x: :*_ 2019
Bonded 7hru Notary Public Undeavdters • - EXPfRES:February 23,
6 `' 1 Banded Thrrf Notary Public Undervmters
Itevised.07/15! _.=----
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
- i l
Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division !
2300 Virginia Avenue !
Fort Pierce,FL: 34982 j
Phone:(772)462-2172 Fax:(772)462-6443
i
Asbestos Notice to Contractor
i
January 1% 2018
i,
WYNNE DEVELOPMENT CORP
i
I MATTHEW WYNNE
i 8000 S US 1 STE 402 !
! PORT ST LUCIE, FL 34952
j
i
RE: Building Permit Number 1801-0439
It is your responsibility to comply with the.provisions of Section 469.003, Florida Statutes and oto notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
tj
law.
i'
2
i
i j
i
Signature
I
Date !
I
i
I
� I ,
>I
1/19/2018 11:08:05 AM
i'