HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /-
Date: Permit Number:
- - - -_ -- Buildings Fermat Application
;Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITT`(PE:
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PR:i P�S'FD.IIu'IiPR r UEIVIi IVT L%ATi3ON, E
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Address:� Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414-501-1701-00019-Spanish Lakes One Lot No.
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Site Plan Name: Block No.
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Project Name:
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®wETAI'L_EI� DE$,,cgtPTI-0 .
Demolition of Mobile Home
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I CQNSTRUCTiOaN IINIE:ORIVIbATI®NfJ - ~
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
otal Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 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
@wYnnebc.com Phone No E-Mail:sue 772-878-5513
Fill in fee simple Title Holder on neat pane(;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 FIVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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`DESIGdOIER/EI�GI�lEER; _Not Applicable i4�®RTGAE'COIViPAR9Yo _Not Applicable
Name: Name:
' Address:
Address:
City: State: City: Stater
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER- *:Not Applicable IBOND.ING COMPAN Y: _Not Applicable
Name: Name:
Address: 1 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 Countyy 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
`IVAIRNING 10.OWNER: YOUR FAILURE TO RECORD A-N0710E (OF COMMENCEMENT MAY RESULT.RIM YOUR PAYING
TWICE FOR IMPROVEMENTS.7 0 YOUR PROPERTY. A NOTICE OF COMMER9CEII+IE�IT,.Iiir�ST. BERECORDEDAND
[POSTE® ON.7HE'JOE SRTE. BEFOR' E.:'G HS FIRST. IiNSPEC'f CN �IF YOUANTEND TO.OIBTX1N.FIIIANCING9 CONSULT
I. : 9IT[II-Y�9B ®EQS-OR-AN A'IT0 'BEFORE RECORDING YOUR-NOTICE®F COMMENCEMENT."
S' ure Wner/.Lessee/Contractor as Age.nt.fo.r Owner Si ure o ontractor/License Holder
. .STATE OF FLI,O(RIDA STAT OF.FLORIDA
COUV�T�P'�F COUNTY OF
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The forgoing instrument was acknowledged before me The:forgoing instrument was.acknowledged before me
this;Zayof 20, Lby this _dayof 20 by
Matthew Lyle Wynne Matthew Lyle Wynne
Name of persommaking 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
ig tt.re of Notary Pdbtic-State of Florida) ig ure of Notar Pul ti - t )
Commission `• Y" SUSANLAFLE al < �� SUSANLAFLEUR
_*. SION#G356�04 Co 356204 eal)
_ *_
EXPIRES;February 23,2023 EXPIRES:February 23.2023
W�• Bonded Thn Notary Public Unde tern FtiondUdInrunutdryraull
REVIEWS, ERVISOR PL- VE ETATION SEA TURTLE MANGROVE
COUNTER REVIEW: . .REVIEW,_ REVIEW : REVIEW REVIEW. . REVIEW
DATE'
RECEIVED
.DAT.E is
COMPLETED
Rev.2 7 19: .
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