HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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:
PROPOSEDIMP'ROVEIVIENT`L�OCATION.
is
.. .:�
Address: ��,� ��C_ 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:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing — Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7S-C?U0'0'
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
=011V,NER%LESSEE '� t;kCOIVTRAcT®R�y
s1F .., srk%ifi.`# b.c �i "a�': �.+fi�• T t;
F�
Name Wynne Building Corporation
Address: 8000 South US 1, Suite 402 .
Name: Matthew Lyle Wynne
Company:Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St. Lucie State: _
Zip Code: 34952 Fax:772-878-0224
Phone No.772-878-5513
E-Mail:sue@wynnebc.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: 772-878-0224
Phone No772-878-5513
E-Mailsue@wynnebc.com
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.
SUPPLEME3NTALMCONSYTRUCTIQN LIEN LAW INF.OWAN'
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-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ure caner/ Lessee/Contractor as Agent for Owner
Signa a of ractor/License Holder
STATE OF FLORIDA
STATE F FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of t4k,,C3 , cAr,.— , 20 2LD by
this day of cl�cc.. a l� 20ZOby
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
OOV
(Signature of Notary Public- State of Florida)_
fs"19rature of Notary Public- State of Florida )
Commission No. sUSANt=R356204
Commission o,•''''!•• E� SUSANIAFLE eal))
• ate-` EXPIRES: February 23, 2023
'•1 p,
;,: :;: MY COMMISSION # 356204
ate: EXPIRES: February 23, 2023
•.•,ORFIQ.•
Thru"^' Public UnderA
fterS
FRONT
ZONING
REVIEWS
SUPERVISOR
PLANS
M NGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.277/19
il 'OD J
Too To
Mamiiog -&- Dev 614ai ent-&M-ces
2300.Virg1min Ave
t Plerae,.FL 34982
772-462-15,53 - Fa1772-462-1578
ASBE -ST.08.. NOTIC E TO, CON-TkA.CTOR
--s Datb: , - �w.
C6htrkWr,Marne:-MATTHEW LYLE WYNNE
6usin,dss . 'Nam e: - WYNNE-BaILD11SIG CORP.
A reSs.-. 800.0 SOUTH US. HWY. I. SUITE 402
dd
PORT SM LUCIE FL
State,
Zip Cbde:. .34952
Re: Job Address: �,s c—,,,
It is.your responsibilityto comoly'with-the-proVisions of Section 469.*003,' Florida Statutes
and t6notify-the . Depart
tmientof Environmental' Protection .of -any intentionslo remove
asbesios when accordarice-w-Ith- state . And:federia'Haw..