Loading...
HomeMy WebLinkAbout Building Permit Application i AIIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED K DIate: Permit Number: 00 f). (�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 ERMITTYPE: P R®;�O"S E DPI IVIyPR®VE M E NT�L®CATIO N. i Address: Dort 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: ©.ETAILED ®E=SCR1':PTf®N ®F V1/®RK: Demolition of Mobile Home I C®NSTRUC*�TI®'N INFO:R'M'/�TI®N: 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: Ci st of Construction:$ ao Utilities: —Sewer —Septic Building Height: OWNER% 111 Z2! CONTR`AC+�T®R: Name Wynne Building Corporation Name:Matthew Lyle Wynne Address:80.00 South US 1, Ste 402 Company:Wynne Development Corporation City: Port St. Lucie State:_ Address:8000 South US 1, Ste. 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.cbm 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 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. PR6wcbi�"'ram`...'- �F x' _ y�i- '-N„�'-�ta1 ^�-a •�a-y�, u. ^i'.*. „. .w, �r ..` -ey �� �SU:PLEI�/IENTALCO;NS T RIJCTION LIEN L/\UV I,NFORIVIATION k 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 YOWLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQT4CE OF COMMENCEMENT." I ,,,,r, gnat of Owner/Lessee/Contractor as Agent for Owner S' ur ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY O COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20-'U-*.)-by this;& day of 20-0 by v ` Matthew Lyle Wynne Matthew Lyle Wynne 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 ( tgnature of Notary Public-State of Florida) -( ig ture of Notary Public-State of Florida) Commission No. ,'i*i>rY'•" SUSAN UR Commissiof"".`;;. SUSANLAFLEUR (Seal) ;. OMMISS=356204 ON#GG 04 EXPIRES:February 23,2023 i '-�• �o`, EXPIRES:February 23,2023 ,oF F ru ,os c Bonded Th Notary Public Undermite REVIEWS ONING SUPERVISOR PLANS L ANGROVE ! COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE !RECEIVED 'DATE COMPLETED ev. 7 1 L