HomeMy WebLinkAboutBuilding Permit Application L A_
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ �0� Permit Number: 9 `J
RECEIVED
- Bulid ing.Perm. it Appkatoon C-C 10.2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County., Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
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
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Address: Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Demolition of Mobile,Home
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itiona wor to be.performedun er t is permit—'c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric F� Plumbing ❑Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities:Sewer Septic Building Height:
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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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: Stater
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 w'I authorize thedpermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, laws or an covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review ur deed for any restrictions which may apply.
In consideratio of the granting of this requested permit,I do hereby agree th I will,in all respects,perform the work
in accordance wit the approved plans,the Florida Building Codes and St.Lucie unty in.
The following buildin permit applications are exempt from undergoing a full concur ncy review:room additions,
accessory structures,s imming pools,fences,walls,signs,screen rooms and accesso uses to another non-residential use
WARNING TO OW R:Your failure to Record a Notice of Commencement m y result in your paying twice for
improvements yo property.A Notice of Commencement must be co ded and posted on the jobsite
before the first N pe ion. If you intend to obtain financing, consult wi le der or an attorney before
commencingw r cording our Notice of Commencement.
s
_Signature of Own e L see/Agent Signature of Contra c L rise Holder
STATE OF FLORI A STATE OF FLORID
COUNTY OF St.Lucle COUNTY OF sLLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S-_day ofJ��X20��.by this '5—day of'c)� ,',%,,20 IFL_by
Matthew Lyle Wynrh- Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Publi to a of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identif Type of Identification Produced
81 SAN LAFLEUR
i?•' : 204
Commission N MYCOMMISSION$C4 Commission No. SU3,hh($21� t,
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off: EXPIRES:February 23,2023 .; ;t; MY COMMISSION#GG 356204
�•'.',•,F•F F(,o?•• Bonded n"Nota<Y Public Undetwrltets ;off EXPIRES:Feb 23 20
`49M"" Bonded Thru Notary Public Undelwritets
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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