HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED JP--C� 7
Date: 5' �. Permit Number:
11"R 956'. R.
I
Building Permit ApplicationL
2018
Planning and Development Services
Building and Code Regulation Division partment2300 Virginia Avenue,Fort Pierce FL 34982 nthF�Phone: (772)462-1553 Fax: (772)462-1578 Commercial Rer .-_1
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED'IMPROVEMENT LOCATION:
Address: Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront
Property Tax ID#: i ^ �n ' ���� 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 toe e orme under this permit—check a appy: '
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 1:1 Plumbing Sprinklers E Generator F] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 500.00 Utilities:liSewer Septic Building Height:
OWNER/LESSEE: 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 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,perform the 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 additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recglApg your Notice of Commencement.
s
_Signature of Owner/Lessee/Ag Signature of Contra o — ero
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 \:tby this day of 20 Vg by
IN
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of person acknowledging) (Name of perso cknowledging /
—1!5
ignature of Notary Public-State of ida) gnature of Notary Pubic-St of rida)
Personally Known x OR Produced Identification Personally Known x OR=Identification
Type of Identification Produced Type of Identification Produced
Commission No. %v,A'. SUSAN IA40a1) Commissi I)
MY COMMISSION#FF 167647 SUSAN UAGEE
`Q<PTY.F���-
?t: 'tom 4%.
EXPIRES:February 23,2019 =,, ;*: MY COMMISSION#FF 187647
pF ° Bonde rm oar, _ .; =r. L,: eoruary
Bonded Thru Nolai%,, Underwriters
Revised 07/1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS