HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.: `
Building Permit Application
i Planning and Development Services 4.
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
.To Select from dropbox, click-arrow at the end of line
'Address: ����. o � `� - Fort Pierce 34951
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art of 1301-111-0001-000f5-Spanish Lakes Country Club Village
.egal Description: p p � �
Property Tax ID#: Lot No..
Site Plan Name: Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side:
DITAtLEB DESCRIPTt01 OF WE3lK
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bemolition of mobile home a-
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CONSTRUCTtC)N INFORMATION t
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itiona I work to e nertormed under this permit—check all apply:
[jHVAC DGasTank ElGas Piping _Shutters E]Windows/Doors
ElElectric Plumbing Sprinklers Q Generator E]Roof
otal Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ C`I7 e'� Utilities:�Sewer QSeptic Building Height:
x0►1NER/.-L`ESSEE � k L: _ �� CONTR/�GTOR �' , s � _� �v
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W nne Building Corporation Matthew Lyle Wynne
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Name Y 9 rP Name. Yt`
I 8000 South US 1,Suite 402 Wynne Development. Co oration
Address: Company: ynCorporation
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.712-878-5513 Zip Code: 34952 Fax: 772-878-02241.
sue@wyhnebc.com 772-878-5513
E-Mail: @� Phone No. J[
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Fitt in fee simple Title Holder on next page(if different E-Mail: sue nebc.com. � lr:
from the Owner listed above) State or County License: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRt1CT)ON LIEN La-W INFOIW'FORM
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DESIGNERANGINEER: —Not Applicable pp MORTGAGE COMPANY: Not Applicable
Name: Name: `
Address: Address: 1.
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: l
City: City: t
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.
5t.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 prohstiit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply_ ,
Iq considerations 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.
4.
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 f
c Iommencin work or recording our Notice of Commencement.
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caner/Lessee/Agent Sign re o r ctor/License Holder '
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF scicxis COUNTY OF
St L-cie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
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this7`tNP-tlay oft���,_, 20 Eby this day of 1 IC�vr�a� .20 n—by
htatther,Lyle wynne
nnauie,:�ytewynns'-
(Name of per si acknowledgin ) (Name of per s acknowledging) 4,
Signature of Notary ublic-State of Florida) ( ignature of Notary.Public State of Ftarida) .
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Iden " Type of Identification Produced )'
SU&QUAFLEUR ". SUSAsIN LAFLEUR
% (Seal)
Commission. .�,: •� 1N1fCOMMISS1oN* �4 c� yineN Sea!
8<? p(FIRES:Fetuuery23,2023 EXPIRES:febniary23 2M3
%',�,dr' °�'• Bonded ra Pubac Ihtdeiwikeit ''
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'.
COMPLETE i
INI 114LS I`
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