HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date:
a, � Permit Number:
_
Building Permit Application
Planning and Development Services FEB 0 2 20118
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 1
ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
i
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine �� W\p
PROPOSED IMPROVEMENT LOCATION:
Fort Pierce 34959
Address: �,\� �P�.� y��-
Legal Description: part of 1301-111-0001-00015-Spanish Lakes Country Club Village
Property Tax ID#: Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional work tote ertormed under this permit—check a apply:
OHVAC
pp y:
HVAC Gas TankF]Gas Piping _Shutters Q Windows/Doors
i
�y Electric Q Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:lo
Cost of Construction: $ - ��;_ Utilities: Sewer t=1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWYnne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402Company: Wynne Development Corporation
City: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-878-0224 City. Port St. Lucie State:FL
Phone No.772-878-5513 I 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.com
from the Owner listed above) State or County License: CGC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
I Zip: Phone: Zip: Phone:
{ FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the s bject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which y apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform t 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 additi ns,
accessory structures,swimming pools,fences,wails,signs,screen rooms and accessory uses to another non-r sidential use
WARNING TO OWNER:Your failure to Re/ofmmencement
tice of Commencement may result in your aying twice for
improvements to your property. A Noticmust be recorded an pos donthejobsite
before the first inspection. If you i tend financing, consult with lender o n orney before
commencin work or recordin ur Notmmencement.
000le"Z — s
_Signature of Owner esse /Age t Signature of ntractor/ tcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St L— COUNTY OF SL Lucie
The forging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 �by this_ day of 20 by
Mat —Lyle wY-0" Mamew Lyle wyme
(Name of person acknowledging (Name of person acknowledging)
gnature of Notary Public-State of rida I (Si ature of Notary Public-State of Flori
Personally Known x OR Pr' duced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .:'w ;�i- SUS E Commission No. (Seal)
S.r �.:= MY COMMIS !ON�fF 181647
°+'• ? EXPIRES:February 23,2019 ;?q�"' ; SU^AN MAGEE
XGacnaeu mi,i moull Public Urldumnem—I
EXPIRES:February 23,2019
Revised 07/15/2 '- at Sonced Thru 6d)taoy Public Undenxiters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS