HomeMy WebLinkAboutBuilding Permit Application ALLIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
Date: 10 '�� • �� Permit Number: 0 ri.a
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_ RECEIVED
Building Permit Application OCT 2 6 2098
Planning and Development Services ST. Ludle County, permitting
Building and Code Regulation Division -
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATfON ''
Address: Fort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
Property Tax ID#: Lot No.
Site-Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIO OF WORK `Y
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Demolition of mobile home
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COENSTRUCTION INFORMATION n "'
Additional work to bene orme un er t is permit—c ec a apply:
OHVAC L_I Gas Tank ❑Gas Piping in_Shutters []Windows/Doors
Electric ElPlumbing Sprinklers 11 Generator 0 Roof
Total Sq. Ft of.Construction: S .Ft.of First Floor:
ElCost of Construction:$ 500.00 Utilities.. Sewer Septic Building Height:
OWNf R/LESSEE CONTRACTOR= }
r_.
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.
SUP,P:LEMENTAL.CONSTRUCTION--LIEN LAW INFORMATION
�.
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:
1 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/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL t-ae COUNTY OF SL Lune
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`�.S day of 20 SZby this Qday of 20 `';4 by
Matthew Lyle Wynn Matthew Lyle Wynne
(Name of person acknowledging) (Name of pe cknowledging)
ignature of Notary Public-State lorida) -(Signature of Notary Public-State of FI da)
Personally Known x OR Produced Identification Personally Known x OR Pro ced Identification
Type of Identification Produced Type of Identification Produced
Commission No. "",;Fy„ StI GEE Commission No. �
:w MY COMI�ISSIOtd 4 FF 187647 , .,, SUSA .
_� tvfYC0MMISSION4FF187647
EXPIRES:February 23,2019
EXPIRES:February 23,2019
Bonded Tlw Notary Public UndcrWriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Planning &Development Services
Building& Code Regulation Division
2300Virginia Ave
Fort Pierce,.FE 34982 ..
772-462-1553 Fai 772-462=157 RECEIVED
OCT 2 6 2098
ST. Lucie County, Permitting
ASBESTOS NOTICE TO-CONTRACTOR-
Date:
Contractor Name: MATTHEW LAE WYNNE
Business Name: WYNNE.BUILDING CORP.
Address-' .800.0 SOUTH US.HWY. I. SUITE 402
City: PORT ST:LUCIE State: FL
Zip Code•. 34952
Re: Job Address:
It is your responsibility to comply with the.provlsions of Section 469:003, Florida Statutes
and to notify the Department'of Environmental Protection.of'any intentions_to remove
asbestos when-applicable.in accordance with state and:federal:law.
Sig nature'&.Date