HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE iNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
* M� RECEIVED
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- BURding Permit Application
Planning and Development Services
Building and Code Regulation Division F� Prit.Lucing Dap�rtment
St.Lucie Co�inty
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
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POPO$ED.lN1;PROVEM�NT LOCRT1i
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Address: Fort Pierce 34951 r
Legal Description- Part of 1301-1'11-0001-00015-Spanish Lakes Country Club tillage
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Property Tax)D##: Lot No. 1:
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: ;
DETAELl3ERtITI�I CIF CRt.' '
Demolition of mobile home
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CC�i�STRLJCTIQN' INFURN(A'�IOI�!
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((' itiona wor to [ee orme un er t is permit— -he
c all tnt apply:
L+tH1fAC 1J Cas Tank Gas Piping _Shutters D Windows/Doors
ElElectric Plumbing OSprinklers F�Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
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Cost of Construction:$ Utilities: _Sewer I_I Septic Building Height:
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bw,m ERf LE��IsE CO1\1TRACTOR x 1t
NameWynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1;Suite 402 Company: Wynne Development Corporation
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City: Port St. Lucie State:FL Address 8000 South US 1, Suite 402
Zip Code: 34952. Fax•772-878-0224 City: Port St.Lucie State:F?L
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224il
E-Nlail:sile@wynnebc.com Phone No. 772-878-5513
Fill in fee simple Title Holdeir on next page(if different E-hail: sue@wynnebc com
from the Owner listed above State or County License:
CGCO35999
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State;:
Zip:: Phone: Zip: Phone: k.
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY. _Not Applicable
Name: Name:
Address: Address:
City: City.-
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced priorto 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 I wilt,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,
accessary structures,swimming pools,fences,wafts,signs,screen rooms and accessory uses to another non-residential usef'
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corrimencin srk or recording our Notice of Commencement.
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n=OFFLORIDA
essee/Agent Sig re ontractor/License Holder
STAT STATE OF FLORIDA
COUNTY OF sLumie COUNTY OF sLLucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me .f'
this day of 20Z:by this Ny day of �,Ac,�t 20 :,\by
Mamevs;Lyle Wynci# MaUhm Lyle Wynne 3:
(Name of person acknowledging) (Name of persop acknowledging)
Signature of Notary Public-State of Florida 1 (S" a-ture 4f Notary.Public-State of Ffari a) .
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. •'�'"•°� SUSANI",MR Commission tit
MY COMMISSION#GG 356204 <��!:'''• SUSAN LAFLEUR z
io`� EXPIRES:Febma 23
MY COMMISSION#GG 2
°EE`�•'',Bonded Thru Notary Pubk Underunitam
Revised 07/1 `+r� P EXPIRES:February 23,2023
of`:�.•'Bonded Thru Notary Public Under afters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANdAOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE:
COMPLETE
INITIALS
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