HomeMy WebLinkAboutBuilding Permit Application 4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: •�. 1 Permit Number:rRE
CEI1�E
Building Permit ApplicationEC -4 2018
Planning and Development Services 1 n x
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Building and Code Regulation Division g pa rtm en
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Resi
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line i
PROPOSED IMPROVEMENT LOCATION
Address: Fort Pierce 34951
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Legal Description: part of 1301-111-0001-00015-Spanish Lakes Country Club Village
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Property Tax iD#: Lot No.
Site Plan Name: Block No..!
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRfPTEON aF WQRK
Demolition of mobile home
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C�;NSTRUCTIQN INFORMATION
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Additional work to1_e_rn_)eff6rmed under this permit—check a appy:
LjHVAC L_J Gas Tank Gas Piping _Shutters �Windows/Doors
Electric Plumbing FI Sprinklers Q Generator E Roof
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Total 5q.Ft of Construction: Sq- Ft. of First Floor:
Cost of Construction:$ Utilities:oSewer Septic Building Height: j.
01�UNERj.LESSEE ;- ;` CONTRACTOR .'
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company: Wynne Development Corporation
Cifijr: 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;;
sue@wynnebc.com 772-878-5513 r
E-Mail: @� Phone No.
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:
CGCO35999
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S�PPLENlENTAt CONSTRIJCTIaN LIEN LAUD �NFORIV'tATI®N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State_
Zip: Phone: Zip: Phone:
F.
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder c
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLuae COUNTY OF SLLuci
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me :.
this_rC> day of, 20 m6y thisday of�ca � ,20 K5j;�b
Y
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Matthew Lyle wynn4- Matthew Lyle Wynne
(Name of perso _acknowledging) (Name orpers.,o7cknowledging
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Signa ure of Notary Public-State of re of Notary Public-State of F Ida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identificatio W
., Type of Identification Produced I.
SUSAN RAGEE
Commission No. '**� '*__ MY COMMI AFF 187647 Commission No. `t Y P���" SUSAN MAG ee I
=�'• -EXPIRES: ebruary 23,2019 Mh415SION 818
Bended Thru Nota Pubrw Undonv ters *, z EXPIRES:February 23,2019
ry Bonded Thu N
otarPu I'
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
N ip Planning&Deyelopm- ent,Services
. Bug&dlhg. Cdde Regkflatlon. wisgon
Ave
Fort Pierce,.FL 349$2 ..
772-462-11553 Fwi 772--462* 1578
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Date:
.Contractor Name: 'MATTHEW L"YLE WYNNE
Business Name: WYNNEBUiLD1NG CORP.
Address; 800.0 SOUTH US,HWY. 1- SUITE 402
City: PORT ST. LUCIE State; FL
Zip Code: .34952
Re: Job-Address:
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 whert applicableIn accordance with state and:federal law.
Signature & Date