HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �e �a,cl Permit Number:
FMDRQ-
COUNTY RECEIVED
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Building Permit Applicat on �a� ® � ;���
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
PERMITTYPE: D d aa
PROaPiieQ. SED...Y'.IMc PROVE- MENwT OTuOx✓N,r%J+�'A^_
Address: �.����� �_� �- Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414-501-1701-000/9-Spanish Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DEaTfAILE�DDESCRIP�TI�OF�WORK� ,. � -�
At
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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:$ g Zrt co Utilities: —Sewer _Septic Building Height:
4% ��a/En3.A. .R"x`rL4cb"uzl.-x*a�
OWNER/LESSEE , . .x t CO:NTRAC�TOR
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.
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SUPPLE: NTAL�CO,NSVT,RU��CTIO,N�LIN�LAW�INF�RMATION ���������� >.���� � f,��L� � t
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 w rk
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-resi ential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU IN YOUR PAYING
TWICE FOR IMPROVEMENT TO YOU PROPERTY. A NOTICE OF COMMENCEMENT MUS BE RECORDED AND
POSTED ON THE JER SI� BEFO THE FIRST INSPECTION. IF YOU INTEND TO AI INANCING, CONSULT
WITH YOUR LED N A NEY BEFORE RECORDING YOUR NOTICE it EN MENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The fo -ping instrument was acknowledged before me The for oing instrument was acknowledged before me
this y of�c _ 20 ZO by this y of t is �cam_ 20 Z,(7by
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 Produced
(Signature of Notary Public-State of Florida) Signature of Notary Public-State of Florida)
:d•., SUSAN LAFLEUR
Commissio � ;+► 8USANLAFLEU�,eal) Commission I
' MY COMMISSION#GG 356204 myCOMMISStON#GO 3562
EXPIRES:February.23,2023 ' oma: EXPIRES:February 23,2023
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REVIEWS LUWG SUPERVISOR PLANS EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19