HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �� I O19-
- =-- Building Permit 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
PERMIT TYPE:
P;ROPOSED'IIVI�PRgV-EMIE_NT�LOCATI,QNia - _ ' ''
Address: C QX� Port St. Lucie, FL 34952
Property Tax ID#: part of 3414-501-1701-000/9-Spanish Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF
Demolition of Mobile Home
CNiNFORNT NCONSTRUGT A
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;
�UVNE;RjLESSEE': — — -. w�CQNTRA'C�TOR 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$7,500 or more,a RECORDED Notice of Commencement is required.
i
. n r`... .7- .;.... ...�::_ r.Si".. Sa.-�cs:y�'-.;!,z: u�"^ ¢,:.m,":�^e,st ^�i.v ate„ i,'�& 'az%4��^t�.�i: t- e'?.$ r�, �— -c..;of .r � `x;� '} :lS}d�'•5* rh '<I-''i";T> [�....,.��.;: t� r�'i, `". { „I r° ✓' �`'�',�� � 1 �. �`t " 'w � ��' I�� �� �*'" '�t.�r:5 3 h�'fx"S`:t���Yis 5B.�e�a�as ���:.��f U*�Ys�?E„�?�.
' ,..v�n��t _ »c;�ap�x'�1 xsrHA,zd��'�'j.a'_���,i:�s'.-Y.f�L"`,'is.v;'vi:i�is�'�-ftx�a`Maiti�u'.a.a.33�:�•..�Fi.�`�^`��c�'.P�'md'!Mv..N'�'''L$.b��i� -....�.W,?.�_::_-r....�.U'"L t;:z.:1w�tt�..ra.it a9:'._L�.:.�h.ti..uc�..i9��Ry�"�_::s3
DESIGNEk/ENGINEER: _Not.Applicable, . MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address:': Address:
City: State: Gity: . State:
Zip: Phone Zip:: Phone:
FEE SIRIIPLE TITLE HOLDER: _Not Applicable (SON®IlilCa COMPANY: _Not Applicable
'Name: i Name:
'Address: 1 Address:
City: City:
Zip: Phone: Zip: Phone: -
OWNER/C®NTRACTOR.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 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
'VARNING TO.OWNEIR: 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
POSTE®:`UN.vNE*JO,B SITE,BIEFORE THE FIRST INSPECTION. IF YOU.INTEND.TO OBTAIN FINANCING, CONSULT
waTIl YOUR IL ®E.R ill ATTORNEY E-FORE RECORDING YOUR NOTICE OF COMMENGEMOl
del
S' ure of: ner/.Lessee/Contractor as Age,nt.for Owner Sig re o ontractor/License Holder
STATE Ii:FLORI®A SWAT OF.FLORI®/�
COUNTY OF COUNTV'OF -:�A—
The forgoing instrument was acknowledged before me - The,forgoing instrument was acknowledged before me
hi ts day of �ticw�, 20a-\ by this day of` rc�r_u c .21 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 -,
�Signatureof Notary Public-State of Florida) (Signature oi'Notary.Public-State of Florida)
.Commission SUSAN LAFLEUR. Com IS�� o. SUSAN L A enR eal)
�y�:You•�;�;•
MY COMMISSION#GG 356 .; :,: MY COMMISSION#GG 356204
EXPIRES:February23,2 3 . "%'�•. e?' '4023
REVIEWS; E° �1`3 Thry RWMI.Indelv dfill RVISO.R PL MANGROVE
VIEW REVIEW REVIEW REVIEW REVIEW
DATE.
RECEIVEDi.'
COMPLETED.
Rev: 7 9.9...