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Building Permit Application
L ALL pPPll ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: q9 RECEIVED k - - BuiIding.Permit Application NOV 2 0 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 9 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from !EZE ropbox, click arrow at the end of line .y ad i Address: ��Z`1 CcL ,�� �� Z,_© Port St. Lucie, FL 34952 Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ffLi.'�f�tTl�yv�ytl :Nj:-ry+' "�f.N/WJ'�"Y' �+� ,•yr. �J?.. ..R' TF•r£*:S '>F f ✓.�.:"7 � 4 ,.tis• q M �,� 'a'kJ's �r `.. (d�x'e' ,£l?'rFa.''�' "�:,1'0�c'...'� ,yM1( � 4R,fi`r K"d�h�`rr.• ' �'' ;,t ya,.' o '��'`x '` .as ` Demolition of Mobile,Home 3i Ya t Es�•"O'�3? A.ti; ' t _ / De'- � {'�5�``, k�V ,� •`Y} -v>'..,.moi 0,tv��� 5 r _ �1�5 .^ .� � �it:�'a�:,9 itiona wor to e e Orme un er t is permit—c ec •a appy. HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing IDSprinklers E Generator ❑Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 500.00 Utilities:Sewer Eheptic Building Height: 2 VO:l1i1111 � �. �� ����-� ���� ������� 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. fr! h -r. r,-ra�,�;r..rs r t«r,r tr �- c �� •� x �,Z �+�`�'�?E�Y.��:K a.,�; w F:e� ::,�.�,:^' "r N �,:, 7 Xr tom,,�, ,�.,^:, yt E� �y''�).r IL�' e 5�,4'1..ii'`���i V:Opw��J"#. 'S�J1��S"`►"''�OIll ;G+� V V' �fl �. �`'i.�� ��1'�1 �-,lft',. res et� Yr�,�' � P.�i�3 -1.:-��'+�!•i 2,.� .6`: " ,'���^s ���:,t.'�..`c'.`ras.'�;:v�'�f A;�"EF�;w.'Fy�&�,i,r`'�` s�'",•4 aa��°s*�s,`w`� �t��•s�n�ir�Y.," .�''°yi� �`��il E.� i '' ��"�"f a"'P?":";,�u`�"`"""H�l.:��`�`p ,�i<'i��".{dal.'�a Y��"�eSl�.���t•�. .wr e iara' � .� �nar's.�S� :Yuc. ra a v:,fr . �J�L�4;.` ",r. �:�A, ha�.��. .�i m �s t-• r„- 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/Lessee/Agent Signature of Contractor/License 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��day of 20 6y this m ay of�,cs 20 by Matthew Lyle Wynn— Matthew Lyle Wynne (Name of person acknowledging) (Name of person acknowledging) Signature of Notary Public-St of Florida) Signature of Notary PublicrState of F da) Personally Known x OR Produced.ldentification Personally Known x OR Procd Identification Type of Identification Produced Type of Identification Produced Commission Commissi 0, yam: SUSAN MAGE I) AN tdAGEE :+; += COMMISSION#FF 187647 MY COMMISSION#FF 187647 EXPIRES:February 23,2019 Bonded ThN ---' -- D 1C n envniers otary public Underwriters �' ,L � Revised 0 ` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE • COMPLETE INITIALS Pla-fi ing &Development Services Building &.Code Regulation Division 2300.Virginia Ave Fort Pierce,.FL 34982 . . 772-462-1553 Fgj 772-462-1578 DECEIVED I NOV 2 0 2018 � . Lucre County,-permitting ASBESTOS NOTICE TO-CONTRACTOR Date: Contractor Name: MATTHEW LYLE WYNNE .Business Name: WYNNE.BUILOING CORP. Address: .800.0 SOUTH US.HWY. I. SUITE 402 City: PORT ST: LUCIEState: FL ZipCode; 34952 Re: Job Address: _22—c�, Itis your responsibility to comply with the.provisions 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 Signature'& Date