HomeMy WebLinkAboutBuilding Permit ApplicationF
LAPPLICABLE INFO li UST BE COMPL&ED FOR APPLICkTOO � TO BE ACCEPTED
ate: Permit Number:
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RECEIVED
APR 2 3 2021
Planning and Development Services PgrmitNng Department
Building and Code Regulation Division S. Lucie Courrty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1579 COrnmerciai Residentiai X
J PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: ��c� �-,— �_ Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-00015 Spanish Lakes Riverfront
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Demolition of Mobile, Home
0HVAC lJ Gas Tank
® Electric . , ED Plumbing
Total Sq. Ft of. Construction:
Cost of Construction: $ 500.00
Right Side: Left Side:
Sas Piping L__I Shutters
Sprinklers FI Generator
S Ft. of First Floor: _
Litilities:ISewer Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height -
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Name Wynne Building -Corporation
Name:'Matthow Lyle`Wynne
Address:8000 South US 1, Suite 402
Company: Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St. Lucie ,- - State:FL
City: Port St.. Lucie State: FL
Zip Code: 34952 ' - Fax: 772-878-0224
Phone No. 772-878-5513
Zip Code: 34952 Fax: 772-878-0224
E-Mail: sue@wynnebe.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.
®ESIGIIIER/ENGONEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIi!>'6PLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
MORTGAGE CdMPANY: Not Applicable
Name: _
Address:
City: State:
Zip: Phone:
SONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 I 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
WARNING TO OWNER: 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 posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencingxier�6r recording your Notice of Commencement.
Lessee/Agent.
STATE OF FLORIDA
COUNTY OF sLLucle
The forgoing instrument was acknowledged before me
this:,3��day of 2023sby
Matthew Lyle Wynn
(Name of pe acknowledging)
l
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Ides�"r„'�e - r
`""'` •: SUSAN LAFLEUR
Commissio MY COMMMSION4GdSA@1b4
EXPIRES: February 23, 2023
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF SLLucle
The forgoing instrument was acknowledged before me
this Z2day of 20 2_\by
Matthew Lyle Wynne
(Name of perso acknowledging) ,
SttIna ire of Notary Pu lic- State of Florida)
Personally Known x OR Produced Identification
Type of Identification Pra
SUS; -A LAFLEUR
I�pQlSSLQN # GG 3562(ge;
EXPIRES: ,rebruary 23, 2023
.-,, .,.),i�i:,:,PublicUnderwriters
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INITIALS