HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
-Date: Permit Number:
Imp NWIMWWN� Building Per 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: Fort Pierce 34951
Legal Description: part of 1301-111-0001-00015 - Spanish Lakes Country Club . Village
Property Tax ID #:
Site -Plan Name:
Project Name:
Setbacks Front Back:
DETA{LED ICES TIQN,, K
Demolition of mobile home
CONSTROJETiON INFORMATION
Right Side
Left Side;
Lot No.
Block No.
Additional work to be
1jHVAC
nertormed
OGasTank
unciertnis permit— cneCK an
OQas Piping
tm apply:
FIShutters
OWindows/Doors
ElElectfic
0 Plumbing
OSprinklers
Q
Generator
FI
Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft of First Floor:
Utifitiesll Sewer 0 Septic Building Height:
W
CONTRACTOR q
NameWynne Building Corporation
Name: Matthew Lyle Wynne
Company: Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St. Lucie State:
...8000 South US 1, Suite 402
Addre .
City: Port St. Lucie State:FL
Zip Code: 34952 772-878-0224
Fax.
Phone No. 772-878-5513
E M sue@wynnebc.com
ail:
Zip Code: 34952 Fax: 772-878-0224t:
Phone No. 772-878-5513
E-Mail: sue@w ynnebc.com
State or County License: CGC035999
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction isS2500 or more, a RECORDED Notice at Commencement is required.
SUPFPLEMENTAt CONSTRUCTlO.N LIEN LAlll! lNFCiRN1I1TlON
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:
Address:
Name:
Address: j
City:.
City:
Zip: Phone:
I:
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 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 resuIt in your paying twice for
improvements to your property. A Notice- of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement..
-a -
STATE F FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this day of ��_ 204 by
MaMa'9Lyfe Wynn*-:
(Name of pion acknowledging)
ary Public State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
r MY COMMISSION # G(i 366204
Revised 07/I512 .� o' 23,
&ModThruNOWYPablo UNWaMra
STATE OF FLORIDA
COUNTY OF SLLucie
The forgoing instrument was acknowledged before me
this \.(.Av day of 20-L0 by
Matlhevi Lyle Wynne
(Name of
per5on acknowledging)
of Notary Pubic- State of
Personally Known x OR Produced Identification I:
Type of Identification Produced
Commission No.
(Seal)
MY COMMISSION # GO UU04
EXPIRES: February 29, 2023
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4 Is
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE:
COMPLETE
).
INITIALS
l
. . . . . . . . . .
g, &
2300Y.Irginla Ave
F Grt Pleiceq. EL 34982..
772-462-1553 - Fai 772--462'1578
ASBRST-09E. U-11-C E, T(D-C2N--TR-kCT-0R
Date:. M-�
C66tract6r Namb-- MATTHEW LASE WYNNt—
Yusin*e.ss Nary e: - WYNNEBUILDIN.G CORP.
AddreSS.-.800.0 SOUTH US.HVV-Y. I-'S.UITE402
Cijy: PORT SM LUCIE
State: FL
Zip Cbde.' 34*952
'Re: Job Address:
It Is your responsibility to co mioly'wlth-the.proVisions of Section 469-*003,`Florida Statutes
and to notify -the Depirtinientbf- 5nAronment-aOrcitection.of *any. intentions*to remove
8sbestos when-applillcqble.in accordarice-with. state*and- �ed*eirail--law.'-