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HomeMy WebLinkAboutBuilding Permit Application ..N ;,ALL'APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� O Date: Permit Number RECEIVED Building Permit Application JUL 2018 Planning and Development Services Permitting D–epartment Building and Code Regulation Division St. LUcie County, FL2300 Virginia Avenue,Fort Pierce FL 34982 . Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -s.,�avIts d7 ..3Zct.,rr -a- '7krF'�' r' '�aSYrs�,•`�r '�'c ytr�i: 3PRt0�P SPD 1 � ITO,CAT 0 r ry , {Si„n.- ^J,.a�.aK:dzw.>„rhw':lk .lx :tr`, •;a1 „'a,3i.zr<t..�t�.s� d: Address: Port St. Lucie, FL 34952 Legal Description: 3427-111-0002-00015 Spanish Lakes Riverfront Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: �✓:��tr 1 :.}rsr dd t;„�,°� 1i t�i;�./l1 �":s!j�.. _. 'r � �fs g'7+ },F� X .fn;�'.���'�t§u�',��`a k�'x��",�@� i� �. t�k� k `�h'c v, y'�ii^` i�•i'� 'a..�.'�-.- ...:$a _-�ti -sa!Sd .lr.'t,",r�f..���+��..: �33��•�trecc��� r.���� �=x-:�����'�. &SF ��```�t,,,� £i`,F��`��.�:.i:',s�"'- i�����'""b�{'s"��'�r���d��`Ys_yd''�A�f Demolition of Mobile Home � �'r"n�L�3"'`��Tn'.;:�1`e ''�c3"r,''�F'b+.2-.�;.,� -lfi'�e.Tr�j'sr��•�;K.�k'�v"m�'-,'K"�� �.�* „r �� r�•c. ..�• ��'s,ik,�` � .,s.. �,3 itiona wor to e e orme un er t is permit–c ec a� appy: ❑HVAC �Gas Tank Gas Pi in _Shutters — — ❑ p g ❑Windows/Doors ❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑ Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 500.00 Utilities:Sewer❑Septic Building Height: �. t x 1 `kv 4 a iA ,..,�ry�-�.cS�""a2-° ..� 3.•k _a..-x r^'`� :ic?�t� ��j rr5sz�sx�14- �y,ra� <v�rr r�,��-�`v�a- .s-•Y� ����,",,`!(,���.�Yi-.-a - ,r n�.,-.Y ,�”,sus "rhrx�",� "' s� -.� �`'�� �"��'!13*� �•..stq�aa�{ r �` k�,jla� '�": $`�x�fi'S a `�S� �' � o�F,F' ��' ::��, a "*;�'aP's.•�i...�1Y•'r�ti*Y'�,*i�" ,'Ei'�".f ��''' t ,�.,5.,ra� Name Wynne Building Corporation Name: Matthew Lyle Wynne Address:8000 South US 1, Suite 402 Company: Wynne Development Corporation City: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402 Zip Code: 34952 Fax: 772-878-0224 City: Port St. Lucie State:FL Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-0224 E-Mail:sue@wynnebc-com Phone No. 772-878-5513 Fill in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com from the Owner listed above) State or County License: CGC035999 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. a r c .:es:rss fir y 4 ., 4^ r F„M.�. Zx s3sua rl: '<s d i�.y ax nn r>�§ s .wr Sri '� r.;,� to , � sa r •� "f '� ( i ��c i}. S ''�'1 `; "��`�'.�ly'�� d�� t s s x^ �,, d 3 ry "`' .✓ .Si �` r e c.Y•-`.oX _�, r.t.i.n .,R:n�..r��-,s..�✓�'%�3�����r�>r<:s DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable 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 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.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. 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 your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. s _Signature of Owner ssee/Agent Signature of C or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SLLucle COUNTY OF St.Lucie The f°°t�rg�oing instrument was acknowledged before me The for oing instrument was acknowledged before me thisa'c` Iday of`SKLL, 20 \_�by this ' day of 20`.V by Matthew Lyle Wynn- Matthew Lyle Wynne (Name of person acknowledging (Name of person acknowledging) na ure of Notary Public-Stat lorida) ignature of Notary Public-StateeofF aPersonally Known x OR Produced Identification Personally Known x OR Pro Identification Type of Identification Produced Type of Identification Produced "t� �.tPpY P�', SUSAN MAGEE Commission Ni j_�•° g”CmAnauISSloN445eahp Commission"NcS:°�� ) !- � EXPIRES:February 23,2019 l %Zti: SUSAN MAGEE Bonded Thru Notary Public undan°+riters MY COMMISSIO N#FF 187647 a ruary 23,2019 11 onded Thru Notary Bpublic undcnvdtars I Revised 07/15/2014r: r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS