HomeMy WebLinkAboutBuilding Permit Application FOR APPLICATION TO 8E ACCEPTED
ALL APPLK.ASLE INFO MUSE BE G
Permit Number:
Date:
Building Permit ApplicatiMAY 2 2 2018
Planning and DeveloPmentseadil is:RECEIVED
cie County, Permitting
Building and Code Regulation Division
23oo Virginia Avenue,Fort Pierre FL 34982 Residential
Phone:(7
72)462-1553 Fax:(772)4521578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of Erle Q Q
PROPOSED !!il!PROVEMEN T LOCATION:
C"� �,` �C J Port St. Lucie 34952
Address:
Legal Description.. P�of -1701-00W- Lakes Clue
Property Tax ID# '�'� " 5Lot No.01- ' °�� "
Block No.
Site Plan Name:
Project Name:
Setbacks Front Sack: Right Side: Left Side:
i DETAILED DESCRIPTION OF WORK: I
Demolition of mobile hofrte
CONSTRU i ION INFORMA T 10N:
Adalitional wor:U5 5a e. ormed un er t is permit–c ec a appy:
HVAC Gas Tank Ekas Piping —Shutters ❑Windows/Doors
11 Electric L J Plumbing OSprinklers 0 Generator Roof
Total Sq.Ft of Construction: Ft.of First Floor:
1
Cost of Construction:$ s..�-,c�c Utilities-.
Sen►er aSeptic Budding Height:
OWNER/LESSEE: ; CONTRACTOR:
Namn Name: Matthew Lyle Wynne
Address:
8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St. Lucie Stater Address: 8000 South US 1, Suite 402
zip Code: 34952 Fax:772-878-0224 may_ Port SL Lucie State:FL
Phone No.
772-878-5513 Zip fie: 34952 Fax: 772-878-0224
E-Mail: �
s arn coPhone No. 772-878-5513
-
Fill In fee scniple Title Holder on next page(if different E-Mail: com
from tfie Owner lusted above) State or County License: CGS
If value of construction is$Isw or more,a RECORDED Notice of Commencement is required.
?TFivfr i Ot'��TI U i ?Itl t E I LAW I'NFORMA s ION
i
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable i
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
r
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name: j
Address: Address:
City: City: +i
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 wi[I 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.Ptease 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,perforin 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: m ad itions,
accessory structures,swimming ,fences,walls,signs,screen rooms and accessory uses to a n esidential use
WARNING TO OWNER: failure Record a Notice of in
improvements to our �,6 nM y ping twice for
p y rty.A lOotice of Commencement must be recur ed on the jobsite
before the first ins pe . I you ' tend o obtain financing, consult with I e an Attorney before
commencing work e nghour Notice of Commencement.
s
_Signature of owner Lessee/Agent Signature ofAontract License t-iolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL u— COUNTY OF suxie
-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me,�
this Cj''iay of \\� .\ 20 Sby this\1-''-day of ' —C`�. 20 �'i by
MaMi-w Ly;e'Alyn—i- MGM- Lvfe Wynne
(Name of person-acknowledging) (Name of person acknowledging)
( }nature of Notary Public-State of Flond FlSignature of Notary Public-State of Florida")
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
l�EEEn
Commission No. SUSPN h
�"."� ^h1MISSIO OW17647 Comm o. (Seal)
EXPIRES:February 23,2019 Yom:–"""------—
647
Revised tr71I512014 EXPIRES;Fabruary F , r019
L 23,2
,1 � ended'hm Public Undary ricers
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