HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
a.`� •� Permit Number:,
Date:
d .s M RECEIVED
Building Permit Application DEC 2 8 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce Ft 34982 i
Phone: (772)462-15S3 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PflPOSEI311VIPROUEMENT tOCATIflN
Address: Ci \A ., a Or, Fort Pierce 34951
Legal Description: part of 1301-111-0001-0Q0 5-Spanish Lakes Country Club Village
Property Tax ID#: Lot No.
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Site Plan Name. Block No.IF
z.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[}ETAI E€3 CRI T[ON
Demolition of mobile home
SCANNED1.
F
VFW
c ec a app y:
(_i GasTan(< Gas Piping _Shutters []windows/Doors
Electric LJ Plumbing Sprinklers FI Generator F�Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:S ��` Utilities:Sewer I_1Septic Building Height:
4NER/LEVEE C f1ij,R,4£T0�1 f,
Namewynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company: Wynne Development Corporation
6
City: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402 4
Zip Code: 34952 Fax:772-878-0224 City: Port St.Lucie State:F
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com phone No. 772-878-5513
Fillf In fee simple Title Holder on next page(-if different E-Mail: sue@wynnebc.com
from the Owner listed above) State or County License: CGC035.999
7
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S�l�P�.EME>�TA1. lrOi�STRt��T�C�IV LtEI� Lam�I��RI�lA7101y '-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: !Not Applicable
Name: Name: :.
Address: Address:
City: State: City: State:
Zip. Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 ofthis 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 jobste
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
_S[ ure of nerl Lessee/Agent Sign a of tractor/License Holder
STATE OF FLORIDA AT OF FLORIDA
COUNTY OF SLLucie COUNTY OF St Lucre
The forgoing instrument was acknowledged before me The forgoing'instrument was acknowledged before me :r.
this��day often r _ 20—z--,,by this \day of c�c� . 20 by
I
f
Maririm":Lyre Wynct Maflf=Lyte Wynne
(Name of person acknowledging} (Name of person acknowledging)
(Sigiia ure of Notary Pubfie State of Florida) ( ignature of Notary.Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification '
Type of Identification Produced Type of Identification Produced ;
Commission Alo. •"�1GS SUSA W&UR Commission No. .Seal
'#= In COMMISSION#GG 358204 �;irV
. ;; SUSAN LAFLEUR
•'jFOF F��a`'' gp��Thru Notary Public Underwriters = •# EXPIRES:Fe
Revised 07/15 :+,� °;' February 2023
°F F` Bonded Thru Notary Public Underwrliers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANdROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'.
COMPLETE
INITIALS
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