HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application JUN L020
Planning and Development Services
Building and Code,Regulation Division
P e 3 '+r;�
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2300 Virginia Avenue,Fort Pierce FL 34982 C'•k , ; ;, , I
Phone:(772)462-1553 Fax:(772)452-1578 Commercial Resid'eiltiai
PERMIT APPLICATION FOR:
To Select fr®ISI dr® box, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION,:
Address: CFort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
Property Tax ID#: Lot No,
Site'Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.,DESCRIPTION;:O.F WORK:;:.
Demolition of mobile home
CO:NSTRUCTION:-INFORMATI.ON::
otiona work to be erformed under this permit—check all that appy:
®HVAC Gas Tank OGas Piping OGenerator
Shutters Windows/Doors
Electric O Plumbing Sprinklers ®Roof
Total Sq.Ft of Construction: Sq.Ft of First Floor:
Cost of Construction:$ 500.00 Utilities:ISewer®Septic Building Height:
.OWNER/LESSEE: °CONTRACTOR
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Sulte 402 Company: Wynne Development Corporation
City: Port St. Lucie State:FL 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 No. 772-878-5513
Fill in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
from the Owner listed.above) State or County License: CGC035999
If valve of construction is$2500 or more,2 RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU:CTECl.N LIEN LAW'INFORMATIO'N..
DESIGNERANGINEER: _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:
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 jobsite
before the first inspection. If you intend to obtain financing,consult with)ender or an attorney before
commencing work or recording our Notice of Commencement.
s
Si atur Owner/Lessee/Agent Sign a of tractor/License Holder
STATE OF FLORIDA TATE F FLORIDA
COUNTY OF sLLucie COUNTY OF stL-d--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Way of —��,� , 20 Z_,'-Ny this�day of ' c .cue .20,�-„Oby
Matthew Lyle wynn. Matthew Lyle Wynne
(Name of person acknowledging) (Name of per - acknowledging)
i
(Signa a of Notary Public-'State of Florida} (Signa ure of Notary Public-state of Florida)
Personally known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission = --�tts�Nu� Commission ,c�•'"'::? LAFZG0004]
.; �: MY COMMISSION#GG 356204 COMMISSION
:�. '• :off; SEEM-Fahniay-A.on"
.j cs F�'�.•.Bonded Thtu Notary PubA 3,2 °p i`°' Bonded Ttw Notary pu
Revised 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS