HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: X Permit Number:
LMAR
ECEIVED
Building Permit Application 3 0 2018
Planning and Development Services
Building and Code Regulation Division County, Permitting i
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
G
Address: \ \-*'4,\,_Q, �,_&.fie, Fort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
Property Tax ID#: i ` I ' G on v� Lot No.
v
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
Add
itiona war tote erform� under this permit—check a appy:
HVAC Gas Tank F_]Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator E] Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 500.00 Utilities: Sewer E Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402 Company: 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 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:
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 perm' holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and cove ants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for an restrictions which may apply.
In consideration of the granti of this requested permit, I do hereby agree that I will,in all spects,perform the work
in accordance with the appro ed plans,the Florida Building Codes and St.Lucie County Ame dments.
The following building permit pplications are exempt from undergoing a full concurrency re ew:room additions,
accessory structures,swimmin pools,fences,walls,signs,screen rooms and accessory uses t another non-residential use
WARNING TO OWNER:Y ur failure to Record a Notice of Commencement may r ult in your paying twice for
improvements to your pr perty.A Notice of Commencement must be record and posted on the jobsite
before the first insp io If you intend to obtain financing, consult J lend r or an attorney before
commencingworkec rdin our Notice of Commencement.
s
_Signature of Owneesse /Agent Signature of Cont '
ctor cense Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF s-L—e COUNTY OF SL Lode
The forgoing instrument was acknowledged before me The forgoi ng instrument was acknowledged before me
this ,1 iay!' of \�� 20 Eby this]L tlay of \'_` 20 by
Matthew Lyle Wynrw+ Maw—we wynne
(Name of person acknowledging) (Name of pe acknowledging)/
(Signature of Notary Public-State o€` lorida} Signature of Notary Public-Stat Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identifica ' _ Type of Identification Produced
I SUSAN MAGEE
Commission No. =• � Yc`_ MY CO^.4N41SSIOt 647
F
Commission No.
T ES:Feb!t 2019 «+ SUSAN MAG
Bonded Thai Notarl Public UndenvntersJ r`r:' ? ,
u: +: MY COMMISSION#FF 187647
_ -
"ip;; °e' Bonded Thru Notary Public Undenvrters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Planning & Development Services
07
1�� Building & Code Regulation Division
COUNTY J
2300 Virginia Ave
= Fort Pierce, FL 34982 RECEIVED
772-462-1553 Fax 772-462-1578
MAR 3 0 2018
ST. Lucie county, Permitting
ASBESTOS NOTICE TO CONTRACTOR
Date:
Contractor Name: MATTHEW LYLE WYNNE
Business Name: WYNNE BUILDING CORP.
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952
Re: Job Address:
It is your responsibility to c,mply with the provisions of Section 469.003, Florida Statutes
and to notify the Depart "ent of Environmental Protection of any intentions to remove
asbestos when a ica a in accordance with state and federal law.
24
Signature & Date