HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Permit Number: Iq (�
Date: 1 • �� • 1 �_ f
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Building Permit Application 8 C; g
R'FV:t DEC 1 0 20 9
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce Ft 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
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P QPOSED MP .0 LOCATION F 4. .
Address: Fort Pierce 34951 ,.
Legal Description: Part of 1301-111-0001-00015-Spanish Lakes Country Club Village .
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Property Tax ID#: Lot No. .
Site Plan Name: Block No. t
Project Name:
Setbacks Front Back: Right Side: Left Side: 1
DETAILED DESCRIPTICII� �I'WORK ,, ' � -
Demolition of mobile home
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CO;NSTRUCTICtN INFORMATION
Additional"worK to be nertormedy un er t is permit—c eckall t appy. "
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HVAC _Gas Tank Gas Piping 1!1Shutters E]Windows/Doors
FJ Electric ❑_Plumbing O Sprinklers • Q Generator L=l Roof f
Total Sq. Ft of Construction: Sq. Ft.of First Floor: i
Cost of Construction:$ rock Utilities:uSewer Septic Building Height:
1.
OWNERf LESSEE = - ` CONTRA'CTOR _g r
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
Zip Code: 34952 Fax:772-878-0224 City: Port St. Lucie State:FL
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-02241.
E-Mail:suea@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 `
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
St PPLEMRitlAT,Q3
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY, Not Applicable
Name: Name:
Address: Address:
City: State: City: State';-
Zip:
tate'Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 4Not Applicable
Name: Name: l
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.Lucle 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 prohil?it such
structure.Please consult with your Horne 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 pool ,fences,walls,signs,screen rooms and accessory uses to anot er non-residentiai use.
WARNING TO OWNER:Your ilure to Record a Notice of Commencement may resulC'Mur paying twice for
improvements to yo, r rop rty.A Notices of Commencement must be recon a d posted on the jobslte
before the first ins ion f you intend to obtain financing, consult with r r an attorney before-
commencin w r re rdin our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder #
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLEacze COUNTY OF SLLude ,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me � g g
thist.5 day of�.c .:_20 Eby this day of J�, f 20 by
Ma,mmljr we Wynn h- Matey Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging) ..
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Signature of Notary Public-State of Florida) ignaturea a Notary Public-State of Florida} r
Personally Known x OR Produced Identification Personally Known x OR Produced Identification a'.
Type of identification Produced Type of Identification Produced I,.
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�'= ! ' '" ="-`- ` Commission N �,��•�, Sli AFLi(Geal) J.
Commission No. „_—.... SUSA :UR
=''��� ��"=—MY CQMMlSS1QN tE GG 35624 l;.
MYCQMMISSION#GO$56204 :*'s :moi 23 2023-3 2023
Revised 07/15
f,°�°;Bonded Thru Notary Pubpc Undenvrrien '�% o�f:Rt,Bonded Thor Not, 1�ub iJadanrritera :
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE'T'ATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLt I t
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INITIALS
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