HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: M6y§T A n-19 Permit Number: C? 9—; 0l 11
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) 46.2-1578 :Commercial Residential X
PERMIT APPL-JCATION FOR: �{ f
PROPOSES FM,__, ROVEMENT LOCATION.
Address: 4�� -
Legal Description: §_Wi19,W27 fig NAHjP59-6/R'N_GEA9E
Property Tax ID #: Lot No.
-Site Plan Name: �'IVVkWiNT Block No.
.Project Name:
Setbacks' Front 2f Back: X Right Side:.19' Left Side: 42100'
DETAILED.DESCRI'PTION OF WORK:,
DR VEWA - 12X39 AND 12X21
2,600M1 #-' T1,HJQ0:E6
TH flWEE WAY- DOESN9,T BUTT �URTO THE IMOSILE (HOME
CONSTRUCTION INFORMATION
Additional.work to bLirformed: under
HVAC- . Gas Tank
this permit.- check.
Gas Piping
all
apply:
_ Shutters
Windows/Doors
0 Electric O Plumbing .
Sprinklers
Generator
E]Roof
Total Sq. Ft of Construction.:
S . Ft. of First Floor:
Cost of Construction:$ 1,512•U9
utilities:OSewer-E]Septic
Building Height:
OWNER&ESSEE:
:CONTRACTOR!
N a m e WYNNE JWJLLQ1:1G QOPMOR,ATIOt�
Name: VAIITiHEJ1Jl [LYLE WYdsllstE
Address:1-6UITE402
Company: WYNtIEIDE�VEL9Pi1 E'NT:CO.RPORAifIION ..
City: NORT ST. WOE - State: � .
Address: �9�0 �9UITH t�9:S I I Aly! I SUITE �492
Zip Code: -34952 Fax: (772) 07$ 7m
City: IP,Q,RTST. ILtU E State: IF�L.
Phone No. (772) 87Z 13
Zip Code: 34952 Fax: l(7Z �6-76W
-E-Mail:
Phone -No. k(772)8? 513
Fill in fee simple.Title Holder on next page( if different
E-Mail:,
from the Owner listed above)
State or County License:' B:M,
SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State: F1
City: State:
Zip: .Phone:
Zip: i Phone:
FEE SIMPLE TITLE HOLDER:. X. Not Applicable
BONDING COMPANY: ;x 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 Countyy makes no representation that is granting a -permit will authorize the permit holder to build the subject structure
which is in con
flict,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 considerationof 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 concureency 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 payingtwice 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 -
commencine work or recording vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF sT.:4,uclE
The forgoing instrument was acknowledged,before me
this�dayof Sb91>ay
;MATTHEW L•YLE'INYNNE
(Name of person acknowledging)
Signature of Contractor/License. Holder,
STATE OF FLORIDA
COUNTY OF:s�-._4uc1e.
The forgoing instrument was acknowledged before. me
this _day of�m'� . 20 by
M AT^,Tj H E M L Y L• E WYN N E
(Name of person. acknowledging)
(Signature of Not Public- State of Florida) (Signature of Notaryblic- State of Florida )
Personally Known X OR Produced Identification Personally Known X . OR Produced Identification
Type of Identification Produced- Type of Identification Produced
Commission No.
Bevtsed 0,
MY COMMISSION # GG 030145
Bonded Thru Notary Public Underwriters
Commission
AN
r GUMMISSION # GG 036145
EXPIRES: October 2.21719n
Underwriters
REVIEWS,
FRONT:
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW •
REVIEW -
DATE
COM;PLETUE
il»1aTUAL�