HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEP IED
Date: Permit Number:
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 Residential X
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the,,end of line
ON
Address: C3, o L a_c\g_
Port St. Lucie, FL 34952 1
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverrront
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Demolition of Mobile Home
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Additional work to e e orme under this, permit—check a appy.
DHVAC F]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric Plumbing Sprinklers E Generator R Roof
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Total Sq. Ft of Construction: S . Ft.of First Floor:
500.00 '
Cost of Construction:$ Utilities: _Sewer E]SI ptic Building Height:
Name Wynne Building Corporation Name: Matthew Lytle Wyrre
Address:8000,South US 1,Suite 402Company: Wynne Development!Corporation
City: Port St. Lucie State:FIL Address: 8000 South US i1, Suite 402
Zip Code: 34952 Fax: 772-878-0224 City: Port St..Lucie State:FL
Phone No. 772-878'5513 Zip Code: 34952 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.corn
from the Owner listed above) State or County License: Q00035999
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i '
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: I '
City: State: City: State:
Zip: Phone: Zip: I Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: 1 Phone:
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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 permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohi it such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,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,swimming pools,fences,walls,signs,screen rooms and accessoryi uses to another non-residenti use
WARNING TO OWNER:Your failure to Rec rd a Notice of Commencement may result in your paying ice for
improvements to your property.A Noti of Commencement must be recorded and posted on a jobsite
before the first inspection. If you inte to obtain financing, consult with lender or aria me before
commencing work or recoroffig youotice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contra Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF SL Luc!Ie
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this\m ay of�„�uc�.�� 20\ by this��T -day of �cr�w ,20 \.g by
Matthew Lyle Wynn-. Matthew Lyle Wynne
(Name of perso. acknowledging (Name of person ack�nowledgin
( ' nature of Notary Public-Stateq lorida) n` a of Notary Public-,Stat , 'Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. r'of,% SU& GEE Commi -.- Seal)
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`:: MY COMMISSION 0 FF 187647 t� °�'•. SUSAN MAGEE
:'a EXPIRES:Februa 23,2019
MYCOMMISSION',S,pr„!\,%, Bonded Thru Notary Public Undonvriiers o` EXPIRES'February 23,2019
Revised 07/15/2014
p„f° Bended Thru Notary public Und.rwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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Planning&Development Services 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
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January 19, 2018
' WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1801-0436
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.
Signature
Date
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1/19/2018 10:56:28 AM
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