HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:RECEIVED
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- - - -- Building Permit Application JAN 1 q 2021
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 �{- ����`Cie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R Si®i;AM
PERMIT TYPE:
P•RD�POSEf) 1,VM R@VEMIEIVT L®CATI,r ;N;, v "i
Address: LQ - Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414-501-1701-000/9- anish Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DETAIL Q DES:CRIRTCONf®FEW®RK r
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Demolition of Mobile Home
,ONSTRlb1CTl'O:Ni HNF®RIVI�ATI'®NI --- _
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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:
O19lN.ER�LESSI E f��CU;�VT�RA�CTOaR I = - 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: _Ivot Applicable MORTGAGE COIllIPAIVY; 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: i Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVITt Application is hereby made to obtainer 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 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
"WARNRNG,;TO.OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
7W§CE FOR.IMPROVEMENTS 10 YOUR,PROPERTY. A NOTICE OF' COMMENCEMENT MUST BE RECORDED AND
PO aTED.:0N.7HE JO.B SITE Ii3EF063E.Ttl9Ef FIRST INSPiECTION.•IF YOU:INTEND.TO OBTAIN .FINANCING, CONSULT
W11TIH.Y UR LENDER OR AN ATTORNEY`MEFORE RECORDING YOUR (MOTIC fF COMMENCEMENT."
Si ur (5Wher/.Lessee/Contractor as Agent for Owner Sign re of CAte or/License Holder
i
STATE 0FFLORIDA STATE OF FLORIDA
COUNTY i0F la,`c. COUNTY OF
The forgoing instrument was acknowledged before me A The.forgoing instrument was acknowledged before me
this day of^ Lcv���.T 20 by this ��S day of�o� cam, ,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
(SignaturejofNotary Public-Sta�of Flor' Si nature of Notary.f'G lic-State of Florida)
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LAFLEUR o
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ry 23 2023 =' SSION#GG 356204
EXPIRES:Februa �' EXPI
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REVIEWS ZONING SUPERVISOR PLA TLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
RECEIVED
DATE
COMPLETED.
Rev.2 7 19