HomeMy WebLinkAboutBuilding Permit Application k
ALL APPLICABLE INFO MUST BEE COMPLETED FOR APPLICATION TO BE ACCEPTED p� `
Date: �' o Permit Nu A
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Building Permit Application DE-C -4 2019'
Planning and Development Services ,
Building and Code Regulation Division Permitting �Ppa rtm� t
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, F-L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Reside
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P14"'. .ED IMPROVEMENT LOCATkON
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Address:
Fort Pierce 34951 ;
�. ���Z-cep_ - I
Legal Description: Part of 1301-111-0001-00015-Spanish Lakes Country Club Village g
Property Tax ID#: Lot No. ,
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRlPT[ON QF 1IV'ORK
Demolition of mobile home
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CONSTRliCTION INFORMATION #
A&Iltional work to be nertormed under this permit–checR all appy:
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HVAC _Gas Tank 0Gas Piping _Shutters Windows/Doors ;
u Electric Plumbing Sprinklers 1—J Generator U Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: 0Sewer Elseptic Building Height:
OWNER/:LESSEE C0111TRACTOR;, r
NameWYnne Building Corporation Name: Matthew Lyle Wynne
8000 South US 1,Suite 402 Wynne Development Corporation
Address: Company: Y P rP
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: 772-878-02241:
sue@wynnebc.com 772-878-5513
E-Mail: @� Phone No.
Fill 4n fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
from the Owner listed above) State or County License: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SIPPLEiVIENTAL CONSTRUCTION LIEN LAW INFORMATION f
DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: i
Address: Address:
City: State: City: State:
Zip'': Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
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City: a.ty
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Zip: Phone: Zip: Phone: i
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. i;:
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work t
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
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLucie COUNTY OF SLittde r
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Thefor Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of 20\�7 this day of 20\5�' by
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Matihaw Lyle WYr Matthew Lyt°Wynne
(Name of person acknowledging}, (Name of persgl,acknowledging)
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Signature of Notary Public-State o rida) igna ure of Notary Public-Stat orida)
Personally Known x OR Produced identification Personally Known x OR Produced Identification is
Type'of Identification Produced Type of Identification Produced 1.
Commission No. :sY`N •• tdAGEE Commission N
iv1Y CO AMISS ON 4 FF 187647 '
r[ "�r`c�.. SUSAN MAGEE is
a: EXPIRES:February23,2019
"TF= ��• ' c MY COMM"ISSION FF 187647
i �,, EXPIRES:February '
Revised 07/15/2014 (3 g'F*g; Banded Thru P:utary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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Pena �g 'De)eloomeHnt Semites
2300.Viirgiinla Aire
Fort Pierce,.FL 34982 ..
772-462-15-5,3 1t aii 772-4621578
ASBE'ST08 NOTICE TO C0N-TRACT—OR
Date:
.Contractor Name: -MATTHEW LYLE WYNNE
Business Name: WYNNE�.BUILDING CORP.
Address:*.800.6 SOUTH US.HWY. 1� SUITE 442
City: PORT ST. LUCIE State: FL
Zip Code. .34952',
Re: Job Address: sRi
Itis your responsibility to comply with the.provisions of Section 469:003, Florida Statutes
and to notify-the Departrrientof 5nvironmental Protection of'any intentions to remove
asbestos when'applicable.in accordance with state and:federallaw
Signature*Date
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