HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:5\�`� \ Permit Number: yoo s-o Q&
ECEIVED
19
Building Permit Application MAY 10 .i
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED.IMPROVEMENT;LOCATION:
Address: ��-�� Port Pierce 34959
Legal Description: Part of 1301-111-0001-00015-Sp ish Lakes Country Club Village
Property Tax 1134: Lot No.
Site Plan Name: Block No.
Proiject Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI,PTION`OF WORK: `
Demolition of mobile home
CONSTRUCTION-INFORMATION:
rtiona wor to ene{ orme under this permit-check all tbat appy:
HVAC LJ Gas Tank 0Gas Piping _Shutters a Windows/Doors
OElectric El Plumbing Sprinklers 1_!Generator O—Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
s
Cost of Construction:$ '>7, Maa Utilities: Sewer Septic Building Height:
OWNER/LESSEE - CONTRACTTOR.. :..
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-$78'5593 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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FSU;'PPLBCWi1j �tR�V1ATiOl11 "'
DESiGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name. _ Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
4
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
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.
Signature of Owne�Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF s-utd-
The forgoing instrument was acknowledged before me The for Ding instrument was acknowledged before me
thisay of \ , 20��by this day of ktES;,��- 20 \R by
M-'ft—Lyle Wynn`- Mamhew L*Wytme
(Name of person acknowledging) (Name of person acknowledging)
igni3ture of Notary Public-stat Florida) igna ure of Notary Public-State of rida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. t-Y�� SUSA N.-' Comm` ioJl•-_. • '—"
•s W COMISS
MION O GG 2S3M 1'
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71VUNoteryPuO&cuode�tais .�`�0��`"�, �N�YPti�cihiernr+U�n
NRevised 07115
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS