HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C� 'V
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
PERMITTYPE:
PROPOSED IMP:ROVEMEIVT LOCATION:` '.:�'ry
Address: LA-D c.`!4 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 _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of, Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
fOUVNER/L+ESSEE�
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Name Wynne Building Corporation
Name: Matthew Lyle Wynne
Address: 8000 South US 1, Suite 402
Company:Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St.. Lucie State: _
City: Port St. Lucie State: FL
-Zip Code: 34952 Fax:772-878-0224
Phone No.772-878-5513
Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com
Phone No772-878-5513
Fill in fee simple Title Holder on next page ( if different
E-Mailsue@wynnebc.com
State or County License CGC035999
from the Owner listed above)
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.
S:U:`FPLEIVIEIVTAL�C}ONSTRl1C1"ION�LI�EIV'L4Wi71NFORIVIATION
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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."
ature caner/ Lessee/Contractor as Agent for Owner
Si tur ontractor/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
thiso day of 20W by
this plc day of 20W by
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
L�i
Notary Public- State Florida
Q/1L
(§6dture of of
)
(Signature of Notary Public- State of FloridaSu
IR
Commission No. �'•, •'• '': YCOM (ON#Gt�&cM
Commission No. "'V►"•. S(f$M�AFLEUR
` EXPIRES: February 23, 2023
?, r • ; MY COMMISSION # GG 356204
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REVIEWS
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SUPERVISOR
PLANS
VEGETATI
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Te--v—.2/7/19
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.230O.VIrg-A-Wa Ave
Fcrrt Plerce,.FL 34982
772-462-15-53 - Fai 772-4-62--'1578
A-SBE.-ST-0.8-MOTICE T&CONTRA.CTOR
Datb,
Contractor- *Namt. . 'MATTHEW LYLE WYNNE
Yusiriess. -Name: - VWNNEBULDING CORP..
Address..-.800.OSOUTH US.HVVY.I-'S.UITE402
PORT ST. LUCIE State: FL
Zip Cbde, 34952'
Re: Job Address:
it isyour responslbllityto cornioly'with-the-proVisions of Section 469.'003, *Florida -Statutes
and W notify -the Depari:rrienf of l5nAronment-at Protection.of "any intentionslo remove
asbestos- when-apolicable.in accordance-w-Ith- state and: f ederia-I law..
.5 Date
X30