HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COiM PLE'iED FOR APPLt ATM To BE ACCEPTED
Date:
a�a\ Permit Number:
_ FFF9
IVED
Building Permit Application 2 2.018Planning and Development ServicesBuilding and Code Regulation Division nty, Permitting
2300 Virginia Avenue,Fort Pierce FL 349$2
Phone:(772)452-1553 Fax: (772)452-1578 Commercial Residential
PERmrr APPLICATION FOR: To Select from dropbox, click arrow at the end of line D m�
1 PROPOSED IMPROVEMENT L OOCATION: __--
Address: \\ \'� \ r-'L Port St. Lucie 34952
Legal Description: part of 3494-501-1701-00019-Spardsh Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE50911:1I ION CIF WORK:
Demolition of mobile home
j CONSTRUCT ION INFORMATION: — —
Additional work to rtormed under this Hermit—check all thial-apply:
131 VAC _ Gas Tank as Piping _Shutters �Windows/Doors
Electric U Plumbing QSprinkiers Generator Roof
Total Sq. Ft of Construction: Ft.of First Floor:
Cost of Construction:S Utilities Sewer Septic Building Height:
OWNER=iSSEE: ; CONTRACTOR:
RACTOR:
NameVVYnW Bukk19 Corporation Name. Matthew Lyle Wynne
'
8000 South US 1; Suite 402 ne Deve rK C f
Address: Company: WYn ion Corporation
City: Port St. Lurie State:Fl_ Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-8784)224 City_ Port St. Lucie State:FL
Phone No.772-878.5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:Sue@"ynnebc con Phone No. 772-878-5513
Fill in fee simple Tttle Holder on next page(ff diffferent E--Mail: sue@NWnnebc.c0(n
from the Owner listed above) State or County license:
tf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
L L0N5TR TION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable !MORTGAGE COMPANY: _Not Applicable f
Name: Name:
Address: Address: `
City: State: City: State. I
1 Zip: Phone: Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name. f
+ Address: Address: I
city: , City: f
Zip: Phone: i Zip: Phone:
I 1 ,
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County mattes no representation that is granting a permit wiU authorize the permit holde to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants t may restrict or prohibit such
structure_Please consult with your Home s Association and review your deed for any restri which may apply.
4n consideration of the granting of this uested permit,I do hereby agree that I will,in ail res perform the work
in accordance with the approved pians, a Florida Building Codes and St Lucie County Amendmen _
The following building permit appiica " s are exempt from undergoing a full concurrency review: m additions,
accessory struttunes,swimming pools,f noes,waifs,signs,screen rooms and accessory uses to a r non-residential use
WARNING TO OWNEfPr
r fail to Record a Notice of Corrunencement in you paying twice for
improvements to youe . A Notice of Commencement must be rec ed d posted on the jobsite
before the first inspecf u intend to obtain financing, consult with der r an attorney before
commend work ord our Notice ofCommencement.
i
s
_Signature of Owner/Lessee/Agent Signature of/nIlactoYfLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st t— COUNTY OF a i—e
The foTgong instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 �ay of S,c.����.c�1 2fl�6y tt►is day of 20 by
Yl
Mamwm,e..,irkyly—
�ew Tyle yivi: 1
(Name of person acknowledging} (Nam7ofacknowledging)
_45Agn-a-1fi-re of Notary Public-State of F)ori ) a of Notary Public-State of Florida
i
i
Personally Known x OR Produced Identification Personally Known x OR Produ tifxation
Type of Identification Produced Type of Identification Produced
+ Commission No. (Seal) Commission No 1
• Y yA: SUS?v A4AGEE „" �. AAvrrNSUSAN MAGEE
:•i •. . o. 187647 EXPIRES:^
" 'a= EXPIRES:rebrua. 23,2019 '' tS:February 23,2019
Revised 07111512D ?"^' ry ',� `: Bonded Thru War,,Puolic UndonvMers
P,;F;••' Bonded Th,u t Al,Puolic Undorrrrlers
I I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
j COUNTER � REVIEW � REVIEW REVIEW REVIEW � REVIEW REVIEW
DATE ) ! ?
f COMPLETE '
INITIALS { f I
r