HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IM MUST BE COMPLETED FOR A.PPUCATit'N TO BE ACWM
Date: Permit Number
R EC"E'O L"V E D
Building Permit Application
Hanning and Devetopment5e[►rices MAY 0!2018
Building and Cade Reguiatian OWSian
2300 Virginia Avenue,pout Pierce FL 3498x Camtting Department
Phone:(772)4621553 Fax:(772)462-1578 App
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of tine
PROPOSED.IMPROVE EN:1- .LOCY.TtON :
Andress:�, �.,Cy�cr l_,�r-�-- Port St.Lucie 34952
Legal Descriptiow part of 3414-5014701-QOM-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Mame: Block No.
Project Dame:
Setbacks Front Back Right Side.,-Left.Side:
DET- AII EO DtSCRIOTI"ON OP WORK:, �
Demoli ion of mobile home
AddCONSTRUI{3l� JI�FO��i'i�I`1�31� :::
stsona wort to a e(a fit-
ormed under t rs perm -s: e c a t y:
app
HVAC l_�I Gas Tank Gas Piping Li_Shutters Windows/Doors
LIElectric FlPlumbing Sprinklers Generator O Roof
Total-Sq..Ft of Construction: Ft.of First Floor:
Cost of Construction:$ `~�tom` Uti{tties Sewer OSeptic Building Height:
-OWNER/LESSEE: . COSITPRACTOR
Named Btu US Cotpora6ocn Name: Matthew Lyle Wynne
Address.-8000 South US 1,Suite 402 Company:WYnne Development Cerporapon
City; Fort St.Lupe5tate:FL Address: 8000 South US 1,Stfde 402
Zip,Code:34952 F_MLT 2-878-0224 C1W Port St Lucie State-FL
Phone No.772-878-6513 Zip_Code: 34952 Fax.772-8784)224
E Ma11:sue@vgn ebc.eom Phone No. 772-878-5513
in simple Title Holder on next page(if different E-Mail:, �r nebc..c orn
fnam the.Owner listed above) State or County License: CGCOWM
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPFI..FIVIENITA€ CONSTRUCT ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: !NotApplicable
Name: Name:
Address: Address:
City: state: City: State:
Zip: Phone: Zip: Phone: i
FEE SIMPLE TITLE HOLDEEt: Not Applicable BONDING COMPANY: —Not Applicable i
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 it holder to build the subject structure
which is in conflict with any,applicable Home Owners Association rules,bylaws or an�enants that may restrict or prohibit such
structure.Please consult w1th your Home Owners Association and review your deed for any restrictions which apply-
In consideration of the granting of this requested permit,i do hereby agree that i will,in all respects,perform 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 fuil concurrency renew:room add"' ns,
accessory structures,swimming pools,fences,walls,stigns,screen rooms and accessory uses to anotheer n esidential use
WARNIING TOYor
:Your failure to Record a Notice of cry+ " is Ye paying twine for
improvemenproperty. Notice of Commencement=must record and ed on the jobsite
before the firion.If yo Intend to obtain financing,consult with I r or a of Corney before
commencingecordi our Notice of Commencement.
s
_Signature.of Owner/t.essWAgent Signature ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLttcie . COUNTY OF.sLL-ie
The forg Ing instrument was acknowiedged��ne me The rgoing instrument was acknowledged before me
this��ay of�� 20 r'c day of_k""C" 20 .by
MaM2ewLyM MOW—L*Wy—
(Name of perso owledging) (Name of p clmowledging)
gnature of Notary Public-State of ) T
re of Notary Publli: tate of Florid
Personally Knowrn x Orlti##Itation sonally Known x OR Produ dent+fscation
Type.of ldentifi+cation Produced e of,Identification Produced
i�Y°ye' SUSr�N 67gj1) missEon ...ft 'Neal1
Commission No_ .Q: 4: IJq+OGEE
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