HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO!MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a ° Permit Number.
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RECEIVED
Building Permit Application FEB 0 2 2 018
Planning and Development Services
Building and Code Regulation Division
5l". 6aEie Febnty# PermiEtin
23010 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line ,M
PROPOSED IMPROVEMENT LOCATION: _
Address: ��3 V �c"�=��� Port St. Lucie 34952 —--
Legal Description: part of 3414-501-17014000/9-Spanish Lakes One
Property Tax 1D#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED E5LR?p;ION OF 0RK:
Demolition of mobile home
j CONSTRIL,1C ;ON INFORMATION:
Additional _ rforme— -n ert is permit—c ec. a apply:EJHVAC o p _
Gas Tank 0--as Piping _Shutters Windows/Doors
11 Electric 7 Plumbing FSprinklers Generator Roof
Total Sq. Ft of Construction: . Ft.of First Floor:
Cost of Construction:$ �k Tp`'IF�_ Utilities: Sewer Septic Building Height:
OWNER/_E_-E. ' CONTRACTOR: I
NamewYnne Buddirq Corporation Name: Matthew Lyle Wynne !
Address:8"South US 1, Suite 402 Company: Wynne Development Corporation
City: Port St. Lurie State:F- Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-878-0224 C4: Port St. Lucie State:FL
Phone No.T72-878-5513 Zip Code: 34952 Fa)c 772-878-0224
f E-Mail:sic-Wm Phone No. 772-878-5513
Fill in fee simple Tide Rokler on next page(if drffexenrt E-Mail: 5Ue4k4Yynnebc.c0m
from the Owner listed above) State or County License: CGCOW999
f
rf value of con5tructlun is$Z.SW or more,a RECORDED Notice of Commencement is required.
i SUPPLEViENTAL CONSTRUCTION LIEN LAW INFORMATION_ f
DESIGNER/ENGINEER: Not Applicable Applicable
` MORTGAGE COMPANY: —Not A 41
Name: Name:
I Address: Address:
City: State: City: State:
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Zip: Phone- Zip: Phone: l
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY- _Not Applicable
Name: Name:
Address: ; Address:
City: Crty: --
Zip: Phone: l Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no epresentation that is Wanting a permit will authorize the permit h er to build the subject structure
which is in conflict with an applicable Home Owners Association rules,bylaws or and covenan that may restrict or prohibit such
structure.Please consult your Home Owners Association and review your deed for any r trions Which may apply_
fn consideration of the gran " of this requested permit,I do hereby agree that 1 will,in all res ,perform the work
in accordance with the app plans,the Florida Building Codes and St.Lucie County Amend ents.
The following building applications are exempt from undergoing a full concurrency revi room additions,
accessory structures,swi ing pools,fences,walls,signs,screen rooms and accessory uses t another non-residentiai use
WARNING TO E Your failure to Record a Notice of C in your paying twice for
improvements to ou property. A Notice of Commencement must be rec d and posted on the jobsite
before the first in pe ion. If you intend to obtain financing, consult with n er or an attorney before
commencingw or ecordin our Notice of Commencement.
//ViAv
s
_Signature of Owner/Lessee/Agent Signature of ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s t.— COUNTY OF s.t—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�ay of -Z �.�, _� 20 �luy th s*' day of 20 by
I
MWIM Lyle Yrysoi 44A& r Lyle At r
(Name of person acknowlecigin (Name of pe acknowledging) %
,6',- ILI-
ignature of Notary Public-State of a} ature of Notary Public- of Florida
i
j Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
i
Commission No- (Seal) Commission No. (Seal)
MY COWICSION E"r: ,S47 =* *; MY COMMISSION#FF 187647
Revised 071I5/20 .�= EXPtPcS:February% ` EXPIRES:Februa 23,
ry 2019
Gonded Tru Notary,Pol,c Un&!rwnters _`,R;, BonceA lhru tar Penne Undcrvmters
I l
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
l COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE l
COMPLETE i
j INITIALS