Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` ' �� ?� Permit Number: .k� RECEIVED- JAN 16 2020 Building Permit ApplicaRplrucie County, Permitting Planning and_Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: yri«,x v*k r a MPOSED MPR�OVEMENT LOCATI.®N` ��4� rv. F .. Address: ri Port St. Lucie, FL 34952 Property Tax ID#: Part of 3414-501-1701-000/9-Spanish akes One Lot No. Site Plan Name: Block No. Project Name: ' DE�T�AILE© DESCRIPTI®N ®F WORK F CONST -OFOR1O"&1 N ION: Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: V; T�11111 � � s � ' CONTRACT®R: ' OWNER/LESSEE -� �' ; � k ' �. ,, � R .. Isom Name Wynne Building Corporation Name: Matthew Lyle Wynne Address: 8000 South US 1, Suite 402 Company:Wynne Development Corporation City: Port St. Lucie State:_ 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 N0772-878-5513 Fill in fee simple Title Holder on next page(if different E-Mailsue@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. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. I0 Repwam, �_ �� IVIATION slow Sl1�P�F�LE�MENT7A�L�CO,;�NS�TRUC�T �N LIE�N._LA� W I°N�F®R• } �r :, 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: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 thepermit 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 a ditions, accessory structures,.swimming pools,fence walls,signs,screen rooms and accessory uses to another 'n-residential use "WARNING TO OWNER: YOUR FAIL E TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS YOUR PROPERTY. A NOTICE OF COMMENCEMENT UST BE RECORDED AND POSTED ON THE JOB SITE FORE THE FIRST INSPECTION. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH YOUR LENDE R ATTORNEY BEFORE RECORDING YOUR NOTIC CO MENCEMENT." Signatu of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this\S day of 20 ZOby this VST day of 207-pby Name of person making stateme t. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Z7 Produced Z-01141-e-1.1 y ( ignature of Notary Public-State of Florida Signature of Notary Public-State of Florida) SUSAN AFLUR Commiss N#GG3Commissio SANLAFLEUR ea Qo EXPIRES:February 23,2023 f.`4 ch ,* W COMMISSION#GG 356204 EXP :�. "� of O`•.•• Bondedr n Notary Public Underwrili its REVIEWS FRONT ZONING SUPERVISOR PLANS NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.