HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO Be ACCEPTED
Date: Permit Number:_ 1 0 �1
_ RECEIVr :p✓
- -- Building Permit Application JAN 19 2021
Planning and Development Services
Building and Code Regulation Division Permitting �epartn�el.t
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re l -PERMIT TYPE:
PRQPOSED IIVIiPROUEMIEIv�T LOCATI,Q'N,
Port St. Lucie, FL 34952
Address:
Property Tax ID#: part of 3414-501-1701-000/9-Spanish Lakes lone Lot No.
Site Plan Name: Block No.
Project Name:
r .
D,ETA{LED'DESCEti'PTIQ,NQI=,1N®EZlC
Demolition of Mobile Home
CON5TRUCTI;CONi 1,R1'F R;M°AvTI;ON� ¢
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;
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 newt page J 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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SUPPLEMIENT jL C® I�S1R11CT1®RI- I� IAIIVi sET�� NJ44E
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-DE:SIGNEROENGINEER: _Not.Applicable . MORTG GE`:COIVIPAiNY: _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 AFFIDVIT Application is hereby made to obtain a permit.to do the vvork 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
" Ai9116NgMG!'1'O.OWNED: 'YOUR-FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT.IN-YOUR PAYING
ICE FOR IMPROVEMENTS TO YOUR: PROPERTY. A-NOTICE .OF,COMMENCEMENT,.MUST.'BE RECORDED ARID
POSTED.ON,THE:JdB SItE BEE0R2E.THE! FIRST INSPECT,90.N.-IF YOI3 INTERID 'I'® OBTAIN.FINANCIING, CONSULT
WITH Y®UR LENDER OR A6N ATTOR N[EY'BEFORE RECORDING YOUR RIOT E®F COMMENCEMENT."
ture of ner/.Lessee/Contractor as Agent for Owner Sign a of C actor/license Holder
.STATE OF.fLORIDA FATE OF.FLORIDA
COUNTY'0. �����_ � COUNTY OF
j
The forgoing instrument was acknowledged before me: The forgoing instrument was acknowledged before me
this"N�day of'�c�cw: a .,,202kby this�� day of �. i�. ,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
"(Sign ure of Notary'Publii__ tate of Florida) Signature of:Notary Pub Ic-State of Florida)
Comrriissio SUSAN LAFLEUlr6eal) Com
��`` �' R ( eal)
'.* MY COMMISSION#GG 366204 =� • COMMISSION#GG 356204
EXPIRES:Februa 23 2023 «� ;•
a F•• Bonded ThN of q Public Undeiwrit rs O
+rF o P Unde�wdters
REVIEW PERVISOR PLA MANGROVE
COUNTER REVIEW. REVIEW. REVI REVIEW REVIEW . REVIEW
DATE
RECEIVED
.DATE
COMPLETED
Rev.2 7 19