HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 008' 05QE
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-- — _--- Building Permit Application
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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:
7"k� •. fir - a.4:,.
PROP�OSEDIMPROVEMENTLOCATIOIV x E >, r
Addres§: Port St. Lucie, FL 34952
Property Tax ID#: part of 3414-50171701-000/9-Spanish Lakes One Lot No.
11
Site Plan Name: Block No.
Project Name:
DET=AIL=EDDESCRI'PTION ®F WO"R"K�:. ���i �� -„ _� ��� ✓�,
Demolition of Mobile Home
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�CONSTRUC�TIQN INF�OR11J1 T,;�O�IV -. �,��>� a ,� �_,-�'•_: �. 4. .
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Additional work to be performed iunder this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
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TotElectric _Plumbing _Sprinklers _Generator _Roof Pitch
al Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 500.00 Utilities: _Sewer _Septic Building Height:
OWNER`L'ESSE`E �s3r CONTRACTOR T
:t a: ..�� �. '�`'�s.'S� .,' .,ems' s�" r-,.::�. -,:t •��r"�o-�a�` k*�."'J7
Name Wynne Building Corporation I Name:Matthew Lyle Wynne
Address:8000 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
Ihone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com Phone No 772-878-5513
I sue w nnebc.com
Fill in fee simple Title Holder on next page(if different E-Mail @ Y
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.
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�SIJPPLENI,E�NT7AL CO3NSTRUCTION LIEN LAMIN , RMAT)ION ' ] y rp wf v b
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DESIGNER/ENGINEER: I_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: i 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."
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Signat of O /Lessee/Contractor as Agent for Owner Signatur o Co ractor/License Holder
ATE OF FLORIDA STATE FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
t is \Ck, day of z 20aQ by this \0, day of 202b by
Matthew Lyle Wynne Matthew Lyle Wynne
Name of person making statement. Name of person making statement.
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Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced -7 Produced
/ 2 , Chi XZZ161,�
(Signature of Notary Public-State of Florida) (Signature of Notary•Publi ,- rida)
►��� SUSAN LAFLEUR I�S SUSAN LAFLEUR
Gom } � e ) o n N�C 0_bl#G��p4 (Seal)
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EXPIRES:February 23,2023 '' `�= IRES:February 23,2023
;. o; EXP
'•.FOF F�.•`
Nam
REVIEWS FRONT ZONING SUPERVISOR VEGETATION SEA TURTLE MANGROVE
! COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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