HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE �APPLI A�TO BE ACCEPTED 7o2(�
Permit Number:
Date' L---RED 1
Building Permit Application ?018
Permitting
Planning and Development Seadces
i3uiiding and Code Regulation Division
23oo virginiaAvenue,Fort Pierce FL 34992 s Commercial Residential
Phone:(772)462-15S3 Fax:(772)462-157
PERMIT APPLICATION FOR: To Select from dropbox, dice arrow at the end of ale
PROPOSED NPROVENAENT LOCATION:
��-��`^ �-` ,-,— � — Port St Lucie 34952
Address-
Legal Description: l of 3414-5U1-1707-00019- Lakes One
Lot No.
Property Tax!D#:
Stock No.
Site Plan Name:
Project Name: r
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
4
CONSTRUCTION ?NEORMA T ION:
rtiona wor, to a ertorme under t is perrnrt—check a appy: ,
HVAC F1 Gas Tank E]Gas Piping _Shutters F]Windows/Doors
0 Electric 0 Plumbing QSprinklers EIGenerator Roof
Total Sq.Ft of Construction: Ft of First Floor-
Cost of Construction:$ �C
utilitiesSewer 0 Septic Builder Height:
oiINER! ESsEE: s CONTRACTOR:
NameWYnne Buk"CaPotaWn Name: Matthew Lyle Wynne
Address:8000South US 1, Suite 402 Company: WYnne DeveloPTert Corporation
City: Port St. Lucie State:FL Address: 8000 South US 1,Suite 402
Zip Code: 34952 Fax:772-878-0224 Cky_ Port St.Lucie state:
Phone No 772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue90wynnebc.com Phone No. 772-878-5513
Fill in fee simple Title Holder on next page(if different E-Mail: sueftcom
frcrn the Owner listed above) State or County License: CGCO35999
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPD' zTVIi_IiTAL OP' i ��C-710N t E1:ltl LAit'if INFO;�MA1ION: 11
DES!GNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Prone: Zip: Phone: I�
t=
FEE SIMPLE TiTLE HOLDER: —Not Applicable BONDING COMPANY: _Not Applicable i
Name: Name: i
Address: Address:
City: City: +}
Zip: Phone: Zip: Phone: j
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 permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assac�ation 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 1 will,in ail respects,perform 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:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to youroperty. A Notice of Commencement must be recorded sted on the jobsite
before the first ins ro . If you iptend io obtain financing,consult with fend r attorney before
commencing wo or reiording y6ur Notice of Commencement.
s
_Signature of Owner Agent Signature Con rador/License Holder
STATE OF FLORIDA 9 STATE OF FLORIDA
COUNTY OF sc L— COUNTY OF suxie
-
The foVing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,A-, -day of 20 ` by this�'- day of 20 '
y�by
'.1zLhew L� ::yrt Matthew tvfe VVyrere
(Name of person acknowledging) (Name of person acknowledging)
{Signature of Notary Public-State of Flagaa j (Signature of Notary Public-State orida)`
Personally Known X OR Produced identification Personally Known X OR Produced Identification
Type of Identification Prokiuced
Type of Identification Produced
SUSAN MAGEE
Commission No_ UY C0M1VS i)F 187647 Comrri � SUSAN MAGEE al)
' EXPIRES:February?_3,2019 i=' 't_ N=FF 187647
rnded Thru Notary Public Undenmters EXPIRE
S:February 23.2019
Revised 07/15/2014 - ----
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS
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