HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR'APPLICAiION TO BE ACCEPTED
Date: Permit Number: — 3,
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NNAMNAM
Building Permit Appliceltion NOV 18 .J20
Planning and Development Services
Building and Code Regulation Division Permitting Depa Lment
2300 Virginia Avenue,Fort Pierce FL 34982 . St .L Cie rrm n'-Y, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMITTYPE:
PROPOSED IMPROVEMENT L®CATIONi:
Address: �� ��� � L , 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:
s POW � `}tom ` P -.-
_
Demolition of Mobile Home
CONSTRUCTlON�I+NFaORM`ATIN;
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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:
0W?N(EREE CONT
Al
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
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 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.
SUPPLEMENTA
L UCN ON`VEN IA -5,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Z:%P 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.
11 certify that no work or installation has commenced prior to the issuance of a permit.
S;t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
vvhich 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.
lin consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
hn 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
S11INARNING 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."
nature of owner/Lessee/Contractor as Agent for Owner Signa e of CI?Kractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_�� COUNTY OF �� L-L—c----0—
The forgoing instrument was acknowled&ed before me The forgoing instrument was acknowledged before me
this V day of 20.1c'D by this\l_ day of��- 208kL-by
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
(5id-n-ature of NotarV:*Public-State of Florida State of Florida)
Comm 5
.5 SUSAN LAFLEUR
l r
5626je Commission SUSANLAFLR�Seal)
W COMMISSION#GG 3WO4
EXPIRES-.February 23,2023
. ..... Z-10 PIRESeFebrua 23,2023
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Bond ei I Thru Notary Public Under#MOM
REVIEWS FRONT ZONING SUPERVISOR PLANS I I U i, IVIANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
IDATE
RECEIVED i
[)ATE
COMPLETED
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