HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1. RECEIVED
- - -- - -- - - ---- Building Permit Applicati®r>I
DEC 0 8 1010
Planning and Development Services Permitting Department
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
PRQ;POS'ED IIVIlFROVEMdE111T LOCATIQ!I\Ij. _ _ _=_ E.,�i
Address: f� C�ram 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:
DETAfiLED DES:CRIPTIORI ®F WOEiI<
Demolition of Mobile Home
CONSTR.UCTfOI�i IIN;F:ORNIATI;ONi
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:
O1fVlIE:RLESSE,E; — i CO!NiTRPACTOiR' ;.. r.; �. ,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
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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DESIGNER/ENGINEER: _Not AA plicable 'MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: Stater
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE FOLDER: —:Not Applicable BONDING COMPANY- Not Applicable
Name: fVame:
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 l will,in all respects,perform the work
in accordance with the approved.plans,the Floridabuilding 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 7O.OWNER: YOUR IFAILURE TO-RECORD A-NOTICE OF COMMENCEMENT MAY RESULT.IN YOUR PAYING
7IICfE [FOR IMPROVEMENTS TO YOUR.OROPERtY. A NOTICE 0F' COMMENCEMENT MUST.:BE RECORDED AND
POSTED.ON.THE..SOD SItE-BEFORE::TIME`EIP2ST INSPECT90N.;IF YOU.INTEND TO OBTAIN.FINANCING, CONSULT
WITH YUIS LE OR AID A'1`IORlMEY'OEEOISE IPECOI&DING x®G9IS NOTICE OF COMMENCEMENT."
Signat of ner .Lessee/Contractor as Agent for Owner :.Sig=- F
ractor/License Holder
STATE OF1 TLORIDA STRIDA
COUNTY-OF ��_ COUNTY OF
The forgoing instrument was acknowledged before me. . The.,forgoing instrument was acknowledged.before me
20��by this.` day of P ,20 2 ^ y
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 'f Notary PA46 State of Florida)
Commission No. SUS LEUR
f � Commission No. SUSAN LA }�
?z; *: MY COMMISSION#GG 356204 ;a?
a 2023 MY COMMISSION#GG 356204
onMThN Notary P Underwriters `:?rF..,..oQ
REVIEWS F R PLANS.. , VE ' EXPIRES;reb
8CA u icU �e 'a
. ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. . REVIEW
DATE
RECEIVED
-DATE.COMPLETE''
D
Rev:277719