HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPILICATiON TO BE ACCEPTED
Date: Permit Number: —t/
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St. Lucie County
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow( at the end of line
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Address: Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-00015 Spanish Lakes Riverfront
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Demolition of Mobile-Home
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�HVAC �Gas Tank Gas Piping _Shutters �Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 500.00 Utilities. Sewer ElSeptic Building Height:
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Name WYnne Building Corporation Name:,Matthew Lyle`Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St.Lucie State:FL Address: 8000 South US 1, Suite 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 Ouuner listed above) State or County License: CGC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/G:NGONEER _Not Applicable MORTGAGE COMPANY: +Not Applicable
Name: Name:
Address: Address:
City, State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: _Not Applicable , BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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
commencing r recording our Notice of Commencement.
s
ature caner/Lessee/Agent . �,iATE:;�FLOMZA
g r/License Holder
STATE OF FLORIDA
COUNTY OF st.Lucie COUNT(OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this`; -day of �� 20_AL by this �c�-day of .\� ,20 by
Matthew Lyle Wynne Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
( ignature of Notary Pub ic-State of Florida) ( 'gnature of Notary Pu lic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type Type of Identification Produced
<r
'y� SUSAN LAFLEUR
Com ,rib• MY COMMISSION#GG 3562gte ) Commiss'i n,s ,,a•, SUSAN LAFLE'JR (g
:mom ' EXPIRES:February 23,2023 ' * MY COMMISS N#GG 35$Zo4a I
TFOF 4` Bonded Thru Notary Public Underwriters m°. '� EXPIRES:February 23,2023
`yl 'jF4F F;0 Bonded Thru Notary u :tc n c
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS