HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \k 11 I N'� Permit Number: �� " d
I
RECEIVED
Building Permit Applicati n
019
Planning and Development Services S E P 7 .-
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 3T: �� f@ cdunt ' rrttittirtg
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from.dropbox, click arrow at the end of line
PROPOSED IIUIPROVEMENT LOCATION
Address: y GlFort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
Property Tax ID#: Lot No.
Site-Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:;OF WORK
Demolition of mobile home
CONSTRUCTION INfORMATION
}
_. ... ..:r.. rte. r.. .... ...... .. .. ,... - ..':..
Additionalwork to be 0oerFo—rmed under this permit–check a appy:
❑HVAC E]GasTank []Gas Piping Shutte
rs a
Windows/Doors
Electric Plumbing ❑Sprinklers _Generator
❑Roof
Total.Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities:�Sewer Septic Building Height:
OWNER%LESSEE CQNTRACTOR
- _ _. _.
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.772-878-5513 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.
SUPPLEMENTAL CONSTRUCT-ION:LFEN LAW INFORMATION':.,,
DESIGNER/ENGINEER: _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:
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 rk or recording our Notice of Commencement.
s
e;eatur of caner/Lessee/Agent Signat ctor/License Holder
STATE OF FLORIDA STATE FLORIDA
COUNTY OF sLL-d- COUNTY OF SLLude
The f_oggooing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this).�S clay of S_ y��c. 20 \q by this=d-ay of � � �,.�_.20 by
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
ignature of Notary Public-State of Florida 469nat&e of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identificatio roduced Type of Identification Produced
•�' Y COMMI��N#Qti 356204
Commission No. Commission g :"�"••.,
%?eR�?��o,• UR
EXPIRES:FebwryYCOMMISSI
23,2023 Ai ' M 1101,111 GG 3562
04
HE.S.February•'"ORF"�'P,, .+w�YCO TINU NOG7jN r�UIIdE�►3 gig
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS