HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
5 as Permit Number.
Date-
RECEIVED
Building Permit Application MAY 2 2 2018
Planning and Development Seaddes
Building and Code Regulation Division ST. Lucie County, pe�mltting
2300 Virginia Avenue,Fort Pierce FL 34982 Residential(772)462-1553 Fax:(772)4662-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine
PROPOSED !MPROVEMEN T LOCATION:
�" `s tv�.
Port St. Lucie 34952
Address: N--k—
�
Legal Description: pat of 3414-501-1701400019-Spate Lakes One
Lot No.
Property Tax ID#
Block No.
Site Plan Name:
Project Name: }
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION ION OF WORK:
I
Demolition of mobile honle
,
CONSTRUCT'ON INFORMAT)ON: �
itiana work,to ped, Orme un er t �s oerm►t—c ec a app y:
HVAC ��.!Gas Tank QGas Piping _Shutters ❑windows/Doors
11 Electric D Plumbing OSprinklers 0 Generator Roof
Total Sq.Ft of Construction: Sof First Floor:
�c
Cost of construction:$ —5 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Namewynm BUkWq Go porati;on Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402 Company: Winne Development Corporation
City: Port St Lucie State:FL Address: 8000 South US 1,Suite 402
Zip Code: 34952 Fax:772-878.0=4 may_ Port St.Lucie State:FL
Phone No.772-878-5513 Zip Code: 34952 Fac 772-878.0=4
E-Mail: O0m Phone No. 772-878-5513
Pili In fee drnple Tide Holder on next Page(if dlf trwd E-Malt: simftvm wba.com
from the Owner listed above) State or County License: CGCO35999
If value of construction is$I5W or more,a REcoRDED Notice of Commencement is required.
RUC TION LEN,. LAW INFORM.47i ION
DESIGRIFEF/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone:
ii
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: Orty:
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 win authorize the permit holder to build the subject structure
which is in conflict with any app6mble 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.
Thefollowing 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-residentiai use
WARNING TO OWNER:Your failure to Record a Notice of Conmwncement may result in your paying twice for
improvements to your property.A Notic� f`Commencement must be recorded a posted on the jobsite
before the first inspection. If you tend obtain financing, consult with der an attorney before
commencing work or recordipg46ur NEce of Commencement.
Signature of Owner 446KwWAgent Signaturgo6f CooffractbrAicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF, sL Lucie COUNTY OF sL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this%N""aay of 20'�.by '20 by
Ntanhm Lyle Wyrai. ma&mw V�7-x- I
(Name 0 6-acknowledging) (Name of person iacknowledging)
(Siknature of Notary Public-State of 14 di)
gnature of Notary Public-State of Flo
7acknov,
f
Personalty Known x OR Produced Identification Personally Known x OR Produced Identification
Type of WgIlM Type of Identification Produced
17
SUSAN MAGEE
Commissiojl_1�o�� •.dMY QQAA1M!q ION#FF 180eal) Commi
XI EXPIRES:FeNrijary23,2019 SUSAt
L R,)ndod Thru Notai,,Public Unde,,�,vrqers 777,
Revised 0711512014
EXPIRES:Fpbruary 23,20119
4 onded Thru Wtarl Public Undavmters
REVIEWS 1FRONT ZONING SUPERVISOR OR PLANS
VEGETATION SEA TURTLE MANGROVECOUNTERREVIEW RIUrREVIEM
REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS