HomeMy WebLinkAboutBuilding Permit Application I - -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 10\2— 0
Date:
-mw�- - - - - -- Building Permit APPIiCat
Planning and Development Services cOo�F�iP�
Building and Code Regulation Division y
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
P13®P®S'ED IIMPROVEMIENT L_OCATI; la6
Address: '\� � <.� � �\rc_.LLB �a--,,�.L
Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414=501-1701-00019-Spanish Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DE' AILI=D DES. RIPTIORIdO'E W!®EZK j
Demolition of Mobile Home
:CONSTRUCTrCC3I�h INiF:ORIVIiATI,« Nr i
Additional workto 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:
A CO N,,T,,,RA T0,R i s
— ..
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.
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DESIGNEROENGIRIEERc _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: dame:
Address: : Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —:Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 1 Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVITi 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.p'ools;fences,walls;signs,screen rooms and accessory uses.to another non-residential use
".WARNING,7O.OWNER: YOUR FAILURE TO RECORD A 9N0TICE OF COMMENCEMENT MAY RESULT.IN YOUR (PAYING
TWOCfE FOR IMPROVEMENTS 70 YOUIP,:PROPERTY. A NOTICE OF:COMMENCEMENT..MUST. BE RECORDED AND
[POSTED ON.THiE:J0.B SITE DEkFORS.THE FIRST INSPECTION.:IF YOU INTEND.TO OBTAIN.FINANCING, CONSULT-
WITH..YbUR LEINU R OIL AID ATTORNEY'BEFORt RECORDING YOUR NOTICE OF' COMMENCEMENT."
L
Sig e o :O er/.Lessee/Contractor as Agent for Owner Sign re of ntractor/License Holder
.
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STATE OFFLORIDA STATE OF FLORIDA:
COUNTY OF �-1.- l_.r : s� COUNTY OF
The forgoing instrument was acknowledged before me The.forgoing instrument was aclnowledged.before me
this :�;�� ,20Z, by this clay of�o�r�,,�t .� 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
Signature;of Notary Public-State of Florida) Ignature of Notary Public-State of Florida)
Commission No USAN LA Commission
#: W COMMISSION#GG 356204 ,; t1SAN LAFLE
:,, MY COMMISSION#GG 356204
•'�;;OFFL,OP��80� PublicU eM'tleB ':'; P 23
IRES: ebNary ,
REVIEWS, ISOR PLANS.. _ V � d nde GROVE
COUNTER:', REVIEW REVIEW REVIEW IEW. . REVIEW.
DATE
RECEIVED
--------------
.DATE
COMPLETED..
Rev:2 7 19