HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'�C Permit Number: / o5- 0 t/ (0-S
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- - Building Permit Appli a i®n
Planning and Development Services APF i? ,2021
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Pe mitt.n g Department
Phone: (772)462-1553 Fax: (772)462-1578 Commercial eXJfp a� FL
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PERMITTYPE:
PRO`POS'ED IIVI'PROVEM4ENTL®CATION
Address: Port LCc.c�Q 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:
®ETA{EED DE�SCRIPTI®N ®4FW®RK� �( �4
Demolition of Mobile Home
�C®NSTRUCTION�I+NF®RMATIO
_.psi
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:
011V�N?ER%ESS,EEv y;, C®,N TRAP C TO,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
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.
SUPPLEMENTAL CON`STR;U'CTUOO N LIIEN LAW {NIFO'RiMATI®IV: �r
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: 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 OOWNER: 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 .DOB SITE BEFORE'THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LE BUR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
>Sipa�eof er/Lessee/Contractor as Agent for Owner Sig r60of C ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF `�,
The forgoing instrument was acknowledged before me The forgo' instrument was acknowledg�ed before me
this'��ay of ��a� 20�\by this3 Say of \�l�c 20+� by
i
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
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Sig ure of Notary Public-State of Florida) (signature of Notary Public-State of Florida)
Commissi circani IAFLEUR ea Commissi �j lam;; •,
I:F" FLEUR
MY COMMISSION#GG 356204 I *:
My COMMISSION#GG 356204
'°' 23 2023
FP,�FAO' nded Thru Nc to Public Underwriter FOF F�?' e N'ry
REVIE — Bo PERVISOR PLANS u'fo iters ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW RE ' REVIEW
DATE
RECEIVED:
DATE
COMPLETED
Rev. 7 1