HomeMy WebLinkAboutBuilding Permit ApplicationTE
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE Permit l Pt Number: A i nfV .
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553, Fax: (772) 462-1578
ERMITTYPE:
TL
Address: a"S,
Property Tax ID #: part of 3414-501-1701-0
Site Plan Name:
Project Name:
Building Permit Application
Commercial Residential
panish Lakes One
Port St. Lucie, FL 34952
dditional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ S 00
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _ Sewer —Septic Building Height:
01IVNER/ESSE.E.'��.,,�
v
CONTRACTORa�;':sfir. §` ">:�
;Name Wynne Building Corporation
Name: Matthew Lyle Wynne
Address: 8000 South US 1, Suite 402
;City: Port St. Lucie State: _
Zip Code: 34952 Fax:772-878-0224
No.772-878-5513
Company:Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772-878-0224
Phone No772-878-5513
(Phone
E-Mail: sue@wynnebc.com
`Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
i
E-Mailsue@wynnebc.com
State or County License CGC035999
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Ifk value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I
A UPPMEIVT?L CONSTRU�PCTION LIEN LAVViIIV,FORIVI4TI0�N
'�r ���d� � i�,��� �`�' . ", '
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 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-residy
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL
TWICE FOR IMPROVEMENTS TJ9 YOUR PROPERTY. A NOTICE OF COMMENCEMENT �FEAr
POSTED ON THE JOB SITE ORE THE FIRST INSPECTION. IF YOU INTEND TO Al
WITH YOUR LEND-E" TTORNEY B ORE RECORDING YOUR NOTICE OF fc MEllkf
btial use
N YOUR PAYING
RECORDED AND
ICING, CONSULT
1i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Contractor icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgoing instr ment was acknowledged before me
The forgoing instrument was acknowledged before me
this' day of et� 20 Z.Oby
this Q�o day of`_� 20a•0 by
Qu '-A h4-0—
W '�A m-9,
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
r,6e,-2 ;;&/ �
Produced
_" /� .
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida
)
Commission No �'t►'`"!''', Su10�356204
UR
Com s►t,"'•., SUSANLAFLEMY
al)
WE my NMISS
COMMISSION 0 GG3562(14(
• o`= EXPIRES: February.23, 2023
a' EXPIRES: February 23, 2023
-ZONING
VEGETATION
SEA TURTLE
REVIEWS
SUPERVISOR
PLA S
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19