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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: VgOS�da6a
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Building Permit Application RECEIVED
Planning and Development Services MAY 10 2019i'
Building and Code Regulation Division 1.
2300 Virginia Avenue,Fort Pierce Ft 34982 �T° Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line p e mn.b
PiOPOSED IMPROVEMENT LOCATION
Address: >C .... Fort Pierce 34,451 ..
Legal Description: part of 1301-111-0001-000!5-Spanish.Lakes Country Club Village _
Property Tax ID#: Lot No. �=
Site Plan Name: Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DEl-Atl_ED DEStrRiPTEON OF V`IQRK - I
Demolition of mobile home
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CONSTRUCTLCON INFORMATION
itional work to (eperformedunder this permit–c ec a appy:
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HVAC !—!Gas Tank ( Gas Piping 'Shutters E]Windows/Doors
i�Electric Q Plumbing OSprinkiers L__I Generator 0 Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
�c�
Cost of Construction:$ !-::13750Utilities: Sewer Septic Building Height:
OWNER/LESSEE _` , CONTRiCTOR:
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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:F
Phone No.772-878-551.3 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: CGCO35999 .`
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Sl3PPEIVIENTAL CONSTRUCTION LI'Ek �.A1J11 INFC3Rl1/IATI{ 11i
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State':
Zip: Phone: Zip: Phone: i
i.
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY,: Not Applicable
Name: Name: I
Address: Address:
City: City:
Zip: Phone: Zip: Phone: l
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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 prohifit 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 fottr
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/Li ense Holder
STATE OF FLORIDA SPATE OF FLORIDA
COUNTY OF SLLtscie COUNTY OF s-Luc z
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this y of 20n-by thisln:&Ny of 20 by _
Mafl4�er Lyie Wynn- t�4atfhevr Lyle Wynne
(Name of person -knowledging) (Mame of Pers acknowledging) l
l00, .,
(S" nature of Notary Public Stat f Florida) ig a ure of Notary Pu ic-State of rida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification J.-
Type of Identification Produced Type of Identification Produced
Commission No. EECommission No. _-__ � __ eal) �
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••..,'. SUSAN IEEE
EXPIRES:Faixuary 23,2023 ,.••I�*'
'' PP• DicUc�Qelvaaers I..
Revised 07/15/2014 . ';? EXPIRESFebmW 23,�t: 2023 .
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANd-ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE;'
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INITIALS
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