HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
(Date: Permit Number: coof I 055r1
-, - - -- --- 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
PERMIT TYPE:
Pf30POSED)MiPROVEMiENT LOCATI,ONo
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 Na.
Project Name:
DETAILED DESCRIPT[ON OF WORK:
Demolition of Mobile Home
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CO NSTR UCT,IO,NI I NiF.O RIVI`ATI'®Ni:
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:
O>J6li�E'.R,/LESSE;E: CO;NTRACTO,R: t
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 gage(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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DESIGNER/ENGINEER: _Not Applicable. . .MORTGAGE:COMPANY: _Not Applicable
Name: Name:
Ad'dress: :, Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE FOLDER: _Not Applicable BONDING COMPANY': Not Applicable
Name: Name:
Address: i :. Address:
City: City:
Zip: Phone: Zip: Phone:
9WN ER/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 Countyy 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 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
'VA[RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT.IN YOUR PAY114C
'i WOCE FOR IMPROVEMENTS TO YOUR,:OROPERTY. A NOTICE OF:COMMENCEMENT MUST: BE RECORDED AND
POSTED:ON THE JOB SWE BEFORE..'ifH E.FIRST ANSPfEC'I'ION.-IF YOU 9NTEND.T6.OBTXIN FINANCING, CONSULT
WEIrH.Y®UfR LENIDER OR AN ATTORNEY I§&®RtE RECORDING YOUR`RIOTICE OF COMMENCEMENT."
'Sign re o wner/.Lessee/Contractor as Agent for Owner =RIDA
tractor/License Holder
STATE OF.FLORIDA
COUNTY OF F �_L._G�� COUNTY OF S� Lc
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged.before me
this �c� day of �CU� v ,.�-0 20�y- this � day of ��u�,�,�1yz�.20 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 -
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'gnature;of Notary Public-State of Florida) (Signature of Notary Public ate of Florida)
Comrriissi I A Pi,;•., SUSAN1MLEUR(Seal) Commissi �� SUSAN LAFLEUR (Seal)
MY COMMISSION#GG 366204 :' *3 MY COMMISSION#GG 356204
:y. ;<
Bonded Thu N tare Public U Wve to `FiidF°P' Bonded Notary Publk Underwrite
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REVIE PERVISOR ,. .PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE`
RECEIVEDI :
COMPLETED
Rev:2 7 19 '
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