HomeMy WebLinkAboutBuilding Permit Application r _
ALL APPLICABLE WO MUST BE COMPLETED FOR APPLICATUM TO BE ACCEPTED
Date: 1 J. Permiti>�
MAY 1 1 2018
Building Permit ApplliCatiOll
Planning and DevelopmertSO-mices Permitting Department
Building and Code Regulation flh dston St. Lucie County, FL
,23W WrgibbAvenue,Fort Pierce FL 34M
Phone:(772)462-1553 Fax:(M)4621578 Commercial� Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED H APROVE—IGEN T.L10CAiI0IN: �
Address: to C' Port St.Lucie 34952
LegalDescription:prof 3414-5014709-0=9-.Spam!Lakes One
Property Tax ID Lot Na.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:- Left side:
I LDE T AILED DESCRiP s IQi~I O=lri/t�7R I
Demolition of motile hose
CONSTRUC T i01 IiIEORMATION—
A itiona uvoc t ro [e nertorme under this permit–checkallt apply:
HVAC #_^4 Gas Tank E]Gas Pipfng _Shutters F]Windows/Doors
Electric Plumbing 05prin€kers 0 Generator O Roof
TotatSq..Ft of constr+uc:ion: .Ft.of FirstFloor:-
_. �''`
�
Cost of Construction:$ l`'�' Utirifies;Osewer,+.1Sepiic Building Height:
OWNERA ESSEE: CONTRACTOR:
NarneVVM Suilding Corporabon Name:Matthew We VVYnne
Address-.MO South US 1,Suite 402 Company:Wynne DeMopment Corporation
may;Port St:Lucie State:F Address:SM South U.S 9,SEdte 402
Zip Code:34952 Fax:772-878-0224 may_Port SL Lucie State-Fl-
Phone
tate:FLPhone No.772-878-Wi3 Zip Coder 34952 Pte.772-$7840224
ErMaihsUe@wynnet c coin Phone No. 772-878-5518
Fill In fee simple Tide Molder on heart.page(if different EMa1w.=e@wynnebmcaM
friam the:Owner listed .above) State or County License: CGCO359W
if value of construction is$25W or more,a RECORDED Notice of Commencement is requimd.
i
SUP:,�,'--EMENTALCONSTRUC7!t'n—N LIEN LAW INFORIMATION-
TESffG RIENRIENGINEER: Not Applicable MORTGAGE COMPANY: � Not Applicable �
Name: Name:
Address: Address:
City: State: City: - State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDEJ!1: �.Not Applicable BONDING COMPANY: —.Not Applicable
Name: Name:
Address: Address:
City: City:
Zits: Phone: Zip: Phone:
I cettifiy that no work or installation.has commenced prior to the issuance of a.permit.
St qe Count rrialtes no repressnCation that.is granting a permit will authorize the it holder to build the subject structure
whi is in.conflict with-any a_pplicafile Home Owners Association rules,bylaws oran that€nay,restrict or prohibit such
structure,Please consult twi-tfi your Horne Owners Association and review your deed for any reslri vihichr may apply_
Iii consideration of the granting ofthis requested permit,I do hereby agree that I will,in all respects, erforrn the mrk
in accordance with the approved plans,the Florida Building Codes and St..Lude County Amendments.
The following building permit apprications are exempt€sora undergoing a full concurrency rwAew: additions,
accessory structures,swirmrii pools,fences,walls, - screen rooms arts#accessory arses to a iron-residential use
WARMNG TO OVAM a YL failure to.>�t a of .' i rig for
improvements to your o rty.A Notic' of Commencement must be rec a posted on the jobsite
before the first ins pe .If you inters to obtain financing,consult with era er or n attorney before
commence work o our once of Commencement104 7.
I
s
Signature.of Owner/Lessee/ Signature ofbprffmctovrine t#older
STATE Of FLORIDA. STATE OF FLOMDA
COUNTY OF -mwa- COUNTY OF sc Ltd-
The forgoing Instrument was acknowledged before me The forgoing instrument was admowledged before me
thisS Y
Of A 28 ab-y the lC�of u^ .20 �by
84Rainr�v Ly- 7V ✓Lye a
{Marne of gerso avvledgirtg} {lttarrteypeacknov64edg1ng),,...--,
r ,
a e of Notary Public-Stateof Florida) ( afore of Notary Public-State of Flo
Personally Known x OR Produced identificadon Personally Known x OR Produced Identification
Type.of Identification Produced Type of ldentifica4ion Produced
Commission No. Commission �_=_--- -' a
N MACEE
:iq??r'ia�c SUSAN MACEE ' yo " MY COMMISSION#FF 167847
Jbl-:n" EXPIRES:February 23,2479 � '�pe
Revised'071151 °'' Doodad 11 ru Noiar Public Undan ricers q� ° Bonded T1Iru Notarf Public Undenuriiers
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SFS Tt1l�T$.E llAAl�lGtiO!!E
Ct3U REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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