HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q O C�0
Date:
av Permit Number. \ D °�-
Building Permit Application FEB 0 2 2-018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)452-1553 Fax:(772)452-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, crick arrow at the end of fine
J PROPOSED iMPROVEMENT LOCATION: ------ --
Address: \ ti1� of 44-5 -1 014 VU p 5s Port St. Lucie 34952
Legal Description: part of 3414501-1701-00(319 -S{�ar�estr L2ic+es One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR?P T IOM Cr WORK:
Demolition of mobile home
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CONSTRUCTION INFORMATION:
Additional work to rformed under t !s permit—check all that apply:
HVAC ( Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft-of First Floor:
Cost of Construction:$ Utilities: Sewer 0_Septic Building Height:
OWNER;i_ESSEE: ' CONTRACTOR:
NameWYnne Buddt9 Caporation Name: Matifiew Lyle Wynne
Address:8000 South US 1, Suite 402 Company.. Wynne Development Corporation
Gly. Port St. Lucie State: Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-8784)224 City_ Port SL Lucie State:FL
Phone No.n2-878-5513 Zip Code. 34952 Fax: 772-578-0224
E-Mail: c rn Phone No. 772-878-5513
Fill in fee simple TIHe Hotdier on next page(if dtffeerent E-Mail: sue@Wr3r>ebc.com
from the Owner listed above) State or County License: CCC0359%
tf vatue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DL`M NTAi C.OI STRUC7ION LIED LAW INFORMA" ION: f
DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _Not Applicable ?
i Name: Name:
jAddress: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: ; Name:
1 Address: ! Address:
City: j city: _ I
Z 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 subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit 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,perto the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The fallowing building permit applications are exempt from undergoing a full concurrency review:room itions,
accessory structures,swimming pools,f walls,signs,screen rooms and accessory uses to another n esidential use
WARNING TO OWNER:Your fail Record a Notice of C may recon in paying twice for
improvements to your property Notice of Commencement must be recorded and steel on the jobsite
before the first inspection. if u intend to obtain financing,consult with lender or a attorney before
commencingwo icor n our Notice of Commencement
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF + COUNTY OF
The�fo`r&o�instrument was acknowledged before me The
rtr-9 instrument was acknowledged before me
this '• ay of S< ��, ,., . 20��by this `- day of 20 by
M3tL`lew iNC riyTn,.: ! Matlhew Lyle 1M1YrsfE
(Name of person acknowledge (Name of person acknowledging)
jArgnatdre of Notary Pu ►c-State of da) igrtature of Notary Public-State of F ida)
Personafly Known X OR Produced Identification Personally Known x OR Produced Identification
i} Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No_ (Seal)
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MY COMMISSION 4 FF 187647 ; "•rrr•� —_— SL 6AN MAGEE
Revised 071 15120 r;-�Jr' EXPIRES:February 23,10.9 1e1 s fJi't i1MtJ ISS!ON 4 FF 187647
i_,:, Boncad fhw Nois,,.c4hk Un:.,rwrters '"'••- v` EXPi►?;:S:February 23,2019
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DATE
COMPLETE ; I
j INITIALS 1 i
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