HomeMy WebLinkAboutBuilding Permit Application / All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
f Date: Permit Number:
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Building Permit Appli ation NOV 18 2020
Planning and Development Services Permitting
Building and Code Regulation Division g Qepartment
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMITTYPE:
RROPOSED}IM`PROVEM!ENTjLOCATION
Address: �������� _t'c v�Q 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:
DE�T�LEQ ®ESCRIPTIO,N'`OF W®RK err , ', —
>..
Demolition of Mobile Home
C®NSTRUCTIQNr�I�NF';ORMATION. 3 . 2 ..;:
Additional work to be performed under his 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:
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 No772-878-5513 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 Q 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.
SU;P�PL`� BNTAC®.N�STR�IJ�C+�TI.®N I.I.EN LAW {�N'F®R+IVIAT'ION �- _ W�'t
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: ! Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: _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 YOUR LENPER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ure of ner/Lessee/Contractor as Agent for Owner Si re of ntra or/License Holder
i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ � ,`c,-�. COUNTY OF �� L`mac._
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �� day of J CtL r���=201gL�by this day of ,` ,20aCby
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 Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission �e`""'• SUSANLAFLgggal) Commission I' :' Bonio
SUSANLAFLE(ldPa1)
SSION#GG 356204 . COMMISSION#GG356204
EXPIRES:Februa 23 2023 = PIBp(Idfid Notary I'ubQc U(Ide Bro "''•°F
ThN Notary P I'i UW tiro
REVIEWS ERVISOR PLANS GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7 19