HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date: `��10 Permit Number:
RECEIVED
Building Permit Application MAY 3 Q 2919 �
Planning and Development Services X
Building and Code Regulation Division ST• I jdfa county, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 `
Phone: (772)462-1553 Fax: (772).462-1578 Commercial Residential
T APPLICATION FOR: f i !
PERM( To Select from dropbox, click arrow at the endo line
PfOPOSED IMPROVEMENT LOCATION
Address: Fort Pierce 34951 .
Legal Description: Part of 1301-111-0001-00015-Spanish Lakes CountryClub Village i
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Property Tax 1D#: Lot No. 1:=
Site Plan Name: Block No.
Project-Name:
Setbacks Front Back: Right Side: Left Side:
QEf AELEa QES:CRIPT[OI }F WORK x
Demolition of mobile home
CO:NSTRIJCTIQN INFORIVt/ATtON
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it€ona wor kto ane orme d ung•er t h€s permit—c ec all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ]Windows/Doors
El Electric Plumbing ElSprinklers �Generator LJ Roof
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Total Sq. Ft of Construction: S . Ft.of First Floor: f#
Cost of Construction:$ _� Utilities:]Sewer Septic Building Height: €
Oltt/NER/LESSEE , x r COi1iTRACTOR: i K
Namewynne 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 1`
Zip Code: 34952 Fax:772-878-0224 City: Port St. Lucie State:F�
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.cam .
from the Owner listed above) State or County License: CGC035999 :
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIWPPLE1ViENTAtCON5TRLICTlON UEN LAIN INFC►RMATION i(
DESIGNER/ENGINEER: _Not Applicable^ MORTGAGE COMPANY: !Not Applicable _
Name: Name:
Address: Address:
City: State: City: State`,
Zip: Phone: Zip: Phone:
1
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ^Not Applicable
Name: Name: €'
Address: Address:
City: City: :.
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.
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 to 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. l
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_Signature of Owner/Lessee/Agent Signature of Contra or/License Holder
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STATE OF FLORIDA
COUNTY OF SL Lucie STATE OF FLORIDA
COUNTY OF st-Lnc
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of 20 t�by this': '`ay of 2d`c� by
Mane.Lyle Wynn-4- Maftevi Ly--Wynne
(Name of person acknowledging) (Name of person acknowledging)
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1gnature of Notary Public-Stat f Florida) (Sig`na bre of Notary Public-State of F ida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced (:
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Commission No. Co eal)
. — su AN AU�t3EE ,, �e'•.. SUSAM MWEE .
:.� :* MY COMAIISIOM A GG 293073
=,yo• Q�' EXPIRF February 23.2023 .•= EXPIRES:Febnrary 23.2M 4.
Revised 07/15/ BMWTlxutloFaryPuh>icUndwatters "'',R °p•' Babed7hruNolaryPublicUnd
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE:-
CO M 0,LETE
ATE:COMPLETE
INITIALS .
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