HomeMy WebLinkAboutBuilding Permit Application iM
T ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: P(C) ' Ood
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address:
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:
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Demolition of Mobile,Home
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-Additiona war to e e rme - under this permit—c ec a y:
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HVAC' Gas Tank ❑Gas Piping ^ _Shutters Windows/Doors
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Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 500A0 i Utilities:0Sewer DSeptic Building Height:
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Name Wyniie Build'mg Corporation Name:'Matthew Lyle'Wynne
Address:8000 South US 1, Suite 402 Company: 'Wynne Development Corporation
City: Part St. Lucie State: 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.
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DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
`Address: Address:. State:
City: State: City:
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 your Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature nf`C-6-nTr"actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-st Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-,'L,4 day of 20 S9,b \9
this-2--'Z-day of 20 by
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of perso�c -owledging) (Name of per Aoq acknowledging
tate of Flo&a
Mate of FII�rga
ign ratiT e of Notary Public-!�tfa ASIR57ture of Notary Public-5 Sr
Personally Known x OR Proiguced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
SUSAN
Commission No.. f SUSAN ffg�W) Commission No. A
-0e0MM1SS10N#FF187647 WYCOMMISS10 # 117647
EXPiRES:February 23,2019
EXPIRES:February 2a,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
_COMPLETE
INITIALS _T