HomeMy WebLinkAbout2%(Fields.Code Permit Doc Ty31050APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1�
ate: Permit Number: alto G 'o-3-7 l p
Building Permit Application
fanning and Development Services
uilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
ERMIT TYPE:
ZbROSED IIVIPRO�ffM
ENT LOCATIO.N
Iress:Port St. Lucie, FL 34952
perty Tax ID #: part of 3414-501-1701-000/9-Spanish Lakes One Lot No.
Plan Name: Block No.
ject Name:
of Mobile Home
4dditional 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
al Sq. Ft of Construction: _
ft of Construction: $ 500.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
Name Wynne Building Corporation
Name; Matthew Lyle Wynne
Company: Wynne Development Corporation
Address: 8000 South US 1, Ste 402
Address: 8000 South US 1, Ste. 402
City: Port St. Lucie State: _
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@wynnebc.com
Phone No 772-878-5513
E-Mail sue@wynnebc.com
Frill in fee simple Title Holder on next page ( if, different
from the Owner lusted above)
State or County License CGC035999
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Sl1PF�LEM,ENTAfL C®V TRUC-TlO] I
NSN L iEN- LAW' INF®Rtl�/I.ATIY
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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:
ZiIp: Phone:
NER/ CONTRACTOR AFFIDVIT:.Application is hereby made to obtain a permit to do the work and installation as indicated.
tify that no work or installation has commenced prior to the issuance of a permit.
icie County makes no representation that is granting a permit will authorize the.permit holder to build the subject structure
h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
;ture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
)nsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
:cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
following building permit applications are exempt from undergoing a full concurren, cy review: room additions,
!ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
i!3►RNING 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 A ON THE ,DOB SITE BEFORE THE. FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LLEN3ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIICE—ff COMMENCEMENT:'
i
si, re of r/ Lessee/Contractor as Agent for Owner
Signa of Co ctor/License Holder
STAT OF FLORIDA
COUNTY OF C A
ATE FLORIDA
COUNTY OF �� �`C- 2
, r-_-p_
�Tle forgoing Instrument was acknowledged before me
The forgoing.instrument was acknowledged before me
this"ky of �_, ., o __ 20DA by
this-'kl'�C�day of _y,, 20�L\ 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
Prjoduced
Produced i
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission ;., ANLAFL a
ISSION
Commissi _
LAFLEUR
e tom" MY COM # GG 356204
=o<Y?y� ;
:: MY COMMISSION # GG 356204
REVIEWS
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to PublicUnde
iter.,
RVISOR
PLANS
:"' EXPI
+r•., P:
S: February 23,2023
i to
ANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
IDATE
I RECEIVED
IDATE
.COMPLETED
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