HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tt
Date: Permit Number: QDl c)I • oco- n
RECENE®
Perm '�Q�
®D'�vl�ent
BuildingPermit Application Pe3t.LucieCounty
Blanning and uilding and Code Regulation Division t.Services uQ1e cunt,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED tIVIPROVEMIENT LOCATI,N - -
Address: C ��- -e_c�, �oz.� �� 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:
DETA{LEb DES,CRIPT(ON�®F W!®RK.
Demolition of Mobile Home
CONSTRUCTI'ON'IINIF;0R{UIIATI'®NI =t ;
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 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: _Not.Applicable- . I\ll®RTGA E COMPANY: _Not Applicable
Name: Name:
Address: :, Address:
City: State: City: . State:
Zip: Phone Zip:: Phone:
FEE SAMPLE TITLE MOLDER: Not Applicable BONDING-COMPANY: Not Applicable
Name: Name:
Address: i.+. Address:
City: City:
Zip: Phone: Zip. Phone:
OWNER/CONTRACTOR AFFIDVIT3 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 arid covenants that may restrict or prohibit such
structure.Please consult with you r.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.p'ools;fences,walls;signs,screen rooms and accessory uses.to another non-residential use
"WARNING;TO.OWfflER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT.IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO.YOUR.,OROPERTY. A-NOTICE OF:COMMENCEMEf�Y,.IVIUST. BE RECORDED AND
�POSTED.:ON.THE:JO.B SITE:BEFORE•.THEI FIRST INSPECT].ON.:IF YOU INTEND I--TO OBTAIN.FINANCING, CONSULT-
WITH YbUR I: DER OR"A d ATORIMEY BEFORE RECORDING YOUR'WOTICE OF COMMENCEMENT."
S' ure of ner/.Lessee/Contractor as Agent for Owner Sig re o ntractor/License Holder
000.
STATE• FLORIDA�:; SWAT OF.FLORIDA- '
COLIN Y OF �� V>-��•� COUNTY OF
The forgoing instrument was acknowledged before me The:forgoing instrument was acknowledged.before me
thisa�day ofi ti�tic�;�., ,20a\ by ' this'd`�day of `� r_u ,2Q- by
Matthew Lyle Wynne Matthew Lyle Wynne
Name of person making statement. Name of person making statement.
PersonallyKnown. x x
OR Produced Identification Personally Known. OR Produced oduced Identification
Type of Identification Type of Identification
Produced �.. Produced -,
Slgnatureof Notary Public'-State of Florida) (Signature of Notary Public-State of Florida)�
Commission .o Com Is,S} ! O. ane�r��ec�eU eal)
t"� • ;;, SUSAN LAFLEUR. •. "�* My COMMISSION#GG$56204
MY COMMISSION#GG 356204
EXPIR 3EXI
F S:February.23,2 rFo F�oP.•
REVIEWS ° t7P dedTh 6tHIffiUnde RVISOR PL MANGROVE
VIEW' REVIEW REVIEW REVIEW. REVIEW
DATE
RECEIVED
COMPLETED
Rev: 19. .