HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSr BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1 Permit Number. l O t �o )7
Date: s
c— RECOV"D
-
--------------
}
-. Building Permit Application
[k I .
Planning and DevelopmentSetvices
Building and Code Regulation Division MAY 0 4 2018
23W Virginia Avenue,Fort Pierce FL 34982
Phone:{772)452-1553 Fax-(7n)462-1578 Commercial R f@ ttjnc, Dertment
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the en u n Y, FL
PROPOSED IMPROVEMENT LOCATION:
Address: L Port St.Lucie 34952
Legal Description:part of 3414-501-1701-Mi9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan.Name: Block No.
Project Name: o-
Setbacks Front Back: Right Side.,--left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile horde
CONSTRUCTION INFORMATION-
Additional wor c to (epe orme c under this permit–check a apply:
OHVAC L._1 Gas Tank []Gas Piping _Shutters F]Windows/Doom
DElectric Q Plumbing Sprinklers lo Generator g Roof
Total Sq.Ft of Construction: So.Ft.of First floor:
Cost of construction:$ v� UtilitiesSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Named Buudf9 Corporation Name. Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port Sir.Lucie Stater Address: 8000 South US 1,Suite 402
Zip Code:34952 Fax:772-87841224 City: Port St. L.uucie State-
Phone N0.772-878-5513 Tp Code: 34952 fax 772-878-0224
E-MaiI:stue@wynne1)c-c0fn Phone No. 7"72-878-5513
Flt In fee simple Title Holder on next page 4 N different E-Mail:
from the Owner> above) State or County License. CGCO35999
#f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES[ ER/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 court authorize
,3,makes no representation that is granting a permit will a " the iniq holder to build the subject structure
which Is in conflict with any applicable Home Owners Askidation rules,bylaws or an ants 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_
Thefollowing building permit applications are exempt from undergoing a full concurrency review:room adoltions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another rn - ential use
WARNING TO OWNER.,Your failure to Record a Notice of Commencement may result in paying twice for
St!
improvements to your property.A Notici�of Commencement must be recorded and on the jobsite
before the first inspection ou interidto obtain financing,consult with lenrr�5attorney before
commencing work or rgou- youpNotice of Commencement
s
Signature yr 0waG1 ent Ng—natureof Contrac-torlLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sLuxte COUNTY OF sL Lwe
7herg ing instrument was acknowledged before me The forp
going instrument was acknowledged before me
",day n,
20 Aby of d 120\'R� by
Manfiew Ly*vqme� Moup-LYW AV-
(Name of person acknowledging) (Name of person acknowledging)
..4!§Ignii6re-of Notary Public-Sia tifof Flo k 'r ignature of Notary Public-State
k--�
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced__
Commission No. Commission No. (Seal)
SUSAN W&F
MY C(All
MISSION#FF 187647
Notor/Pubfir Und SUSAN AIAGEE
rVyC0MN0,1SS10N#FF1871647
Revised-07/1,
>3.2olq
EIfiIRES:February;-
REVIEWS 'FRONT ZONING SUPERVISOR PLANS VEGETATION SEATU ROVE
a7647
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS