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All APPLICABLE IIINFFO/•MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 1 ` l y Permit Number:
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Building Permit Applications �l, o
Planning and Development Services `4°%�(10
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 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:
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DETAILEDDESCRIPTION OF;WORK zk
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Demolition of Mobile Home
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CONSTRUCTION INFORMATIO�d � Lx,
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:
Cost of Construction:$ 500.00 Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE CONTRACTOR
Name Wynne Building Corporation 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 !I
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 it
E-Mail:sue@wynnebc.com Phone No 772-878-5513 I
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.
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SUMP}g�P�L__EIVI2ENTyALCONSTRUCTION LIEN LAW INFORMATIO
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not ApplicablIe
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 i4cated.
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 j
"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 LIEWR OR AN ATTORNEY BEFORE RECORDING YOUR NOTI E OF COMMENCEMENT."
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S' ature o ner/Lessee/Contractor as Agent for Owner Sig ure o ontractor/License Holder
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STAT OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFThe forgoing forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this_day of this L\day of 202-0by
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
(Signature of Notary Pt-Elic-State of Flo r' 1lgrrature of-Notary PuOlic-State of Florida
Commission � Y! SUSANLAFLEU(�5�04 . " :"` SUSANLAFLEU JI
' NNSSION# Commission .� � MMISSION#Gebnrary23,2023 o• EXPIRES:February 23,202
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REVIEWS RONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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