HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number-r �ry,,
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- Building Permit Application
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
PERMITTYPE:
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PROPOSED IMPROVEMENT LOCATION,
Address: �� �c�������c l_- �� 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.
Pi oject Name:
DEIAILEDDESCRIPTIONb®:F;=111%®RK j "} -
Demolition of Mobile Home
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fCONSTFtIJ'CTION',INFORMA LION
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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:
10WWN+ER/ ESSEE— CO;NTRAxCTOR
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
Full in fee simple Title Holder on next page(if different E-Mail sue@wynnebc.com
from the Owner Posted above) State or County License CGC035999
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I#'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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IJPPLEIUI ERI�T�P�LC®:NSTR C�Tf� L EA LA� I�IF�®RiMAT N200, IRA
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.perrnit 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 &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 JOB SITE BEFORE THE.FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
!WITH'YOUR LENW9 OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Si ture wrier/Lessee/Contractor as Agent for Owner Sig �FFLORIDA
tractor/License Holder
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STATE OF FLORIDA STATE
C®UNTY OF COUNTY OF S—\
The forgoing instrument was acknowledged before me The forgoing.instrument was acknowledged before me
this�day of _ _ ,20a-\by this'- day of 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
P joduced Produced
S gnature of Notary_Public-State of Florida) Wig ature of Notary Public-State of Florida)
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Commission o Commission No. I)
o{,P'rauc SUSAN IAFLEUR
G356204 'nhYS�os;, SUSANLAFLEUR
oQ` EXPlWi4 It
IRE February +; :* "
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REVIEWS i •'.;,.FF." edThru CZQNb &de 'er5 ERVISOR PLAN `?' o R� , A hr Not y 611c�ihd��s MANGROVE
i EVIEW REVIE g" REVIEW
DATE
RECEIVED
DATE'
COMPLETED
Rev.2 7 19
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