HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:ao('l '
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)462-1578 Commercial Residential
PERMITTYPE:
,PRI PQS'ED 1lVl'PR,OVEMiE-iiT L-CATI,O
Address: , 9 _e Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414-501-1701-000/9-Spani h Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DERAILED DES,CRI`PTl®N OFINORK:
Demolition of Mobile Home
CON,TIC,I�CTLOI�i'I+RIiR0,0NIANT
I;,�N.
y .
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:
PW,I�➢1E:R,fLESSEI; .. . — —'. F { CO;I�ITrRA: TOiaR: . i
_ _ -- —
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
i
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 NoUce at commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
,
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DE:SIGf�EROEN�INEERe _Not:Applicable M®RTGAGE COMPANY: _Not Applicable
Name: name:
Address: ' Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER- _Not Applicable SONDING COMPANV6 Not Applicable
Name: Name:
Address: I Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtainl-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 Horne Owners Association and review.your deed for any restrictions which may apply.
In of the granting of this requested permit, I do hereby agree:that l 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
C9WARNING:TO OWNER..•YOUR FAILURE TO ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO-YOUR:.PROPERTY. A -NOTICE OF,COMMENCEMENT..lWUST'BE REC®IZ®ED AND
N
P0STER,ON.'Ifl�li.JO.B SITE BEFOIPE`:TIME`FIRST ICi SPECTION.:IF YOU 9NT-END_:T.o OBTAIN FINANCING, CONSULT
WiiT�I..YbUR NDE.R DIS'AN A'I�'®RN.EY"EiEF(jRE'REC0RD1NG YOUR OTIICE OF'COMINENtEMENT."
Sign ure o ner/.Lessee/Contractor as Agent for Owner S' ur Contractor/License Holder
STATE OF;FLORIDA STATE OF,FLORIDA
COUNTY OF C. COUNTY OF
The forgoing instrument was acknowledged before me. . The..forgoing instrument was acknowledged before me
this� day of 20 2X,�)by this oftc r:_. 204 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 �.
-j' ignature of Nota Signature of Notary:Public-State of Florida)
< Y►:'' SUSANLAFLEUR
Commission No. ' '': my
COMMISIr41 OGG356204 Commission No. „
Qo; EXPIRES:February 23,2023 :�" •��; SUSAN FLEU
�ok �• MY COMMISSION#GG 356204
o�: EXPIRES:February 3,2023
REVIEWS FRONT ZONIN.G SUPERVISOR PLANS.. . VEG ��
OVE
COUNTER. REVIEW REVIEW. REVIEW RE REVIEW
DATE
RECEIVEDr::
DATE
COMPLETED
Rev..2 7 19