HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` J
Date:
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
APR 2 3 2021
Building Permit Application PgrmiMng Departrnpr,r
St. Lucie Cou:)t%•
Commercial Residential
PERMITTYPE:
'PROP�OSf�D�IMPROVE�MENT�;LOCATIONi ;�,
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Address: 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:
Demolition of Mobile Home
FIE
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:
Cost of Construction: $ 500.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWfIViER/ESSE;E c = " r :' E"
TRA�CT®R
-
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
Phone No 772-878-5513
E-Mail: sue@wynnebc.com
Fill in fee simple Title Folder 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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MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: _Not Applicable
Name:
_
Name:
Address:
Address:
Cty: State:
zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zilp:
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 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
1 TWICE 'FOR IMPROVEMENTS. TO YOUR PROPERTY. A NOTICE OF ,COMMENCEMENT MUST .BE RECORDED AND
I POSTED ON THE JO.B, SITE BEFORE THE.FIRST INSPECTION. IF YOU: INTEND TO OBTAIN FINANCING, CONSULT
WITH'YOUBI ENDER.OR'AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
i
Si" ure of ner/ Lessee/Contractor as Agent for Owner
i
S' re o ntractor/License Holder
STAT OF FLORIDA
STAT OF FLORIDA
COUNTY OF lac_
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing.instrument was acknowledged before me
tliisl' ay of ..\ , 20-;iL\ by
thisr`�._'t:,-day of-Q�';�-.. 20f;A� 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
I
Produced
Signature of Notary Public- State of Florida)
i
(ign a of Notary Public- State of Florida )
Commission No.
• "'-. SUSAN FL UZ32
Commissio SUSANLAFLEURSeal)
MY COMMISSION # GG04
t; :*; MY COMMISSION # GG 356204
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DATE
RECEIVED
DATE
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Key. 277719