HomeMy WebLinkAboutBuilding Permit Application z
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:
Permit Number:
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Bui9dinPQ AP �8 Ion
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 N".
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: p
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Address:�7 <�� ..C�`"" �`-j^Z-- Port St.Lucie, FL 34952
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverrront
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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A5101 rm" ?ry
Demolition of Mobile,Home
s9-Mn R iFfi�V`$r i 'r"x#`-_Y'- a 'a4s" 4Y� `p� rr' i,id L4'FS:' 4 r.+ ry =r.. . k`"` --E"�`.a f:°"�x`_, ti� w kvbr y ". „ ri I,*','St f;!,s,• ..,5 :.ry:
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Addition- I wor to e nerformed
n_un er t is permit—c ec a appy:
QHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: Sewer F]Septic Building
Height:
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t7ftN141"71
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Name Wynne Building Corporation Name: MatEliew Lyle Wynne
Address:8000 South US 1, Suite 402 Company:,Wynne Development Corporation
City: Port St. Luciestate:F� Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax: 772-878-0224 City: Port St..Lucie State:FLL
Phone No. 772-878-5513 i Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebe.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
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if value of construction is$2500'or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: j _Not Applicable MORTGAGE COMPANY: _Not Applicable
(Name: Name:
Address: Address':
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 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 1 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.
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ure caner/Lessee/Agent Sig o ntractor/License Holder
STAT OF FLORIDA ATE OF FLORIDA
COUNTY OF SLLucle COUNTY OF St.Lucie
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The forgoing instrument was acknowledged before me Thefor oing
i?kJinstrument was acknowledged before me
thisUay of ��y�. 20)86-by this�y of L��1� 20 by
Matthew Lyle Wynn- Matthew Lyle Wynne
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(Name of person acknowledging) (Name of pe o acknowledging /
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'(Signa ure of Notary 06lic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identificati Type of Identification Produced
LAFLEUR
Commission No. _ MYCOMMIWPNIG036M Commission,N '�'��• UA �E� ����
EXPIRE8:Febntaty 23,2023 =. .' MMISSION#Qi�l"i3t>8204
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•' 00 c'�'� B1xldod Thlu Notary Pubill:Und�twrkas cab,.= EXPIRES:February 23,2023
Revised 07/15/2014 !I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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