HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COM( \ ED FOR APPLICATION TO BE ACCEPTED'
Date: Permit Number: t? j (�l! ob
Building Permit Application,,.
Planning and Development Services roc°9a �0
Building and Code Regulation Division �0ad
2300 Virginia Avenue,Fort Pierce FL 34982 0�'y0�
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 'E
i .
PERMIT7YPE:
Address: D cz Port St. Lucie, FL 34952
Property Tax ID#: Part of 3414-501-1701-000/9;Spanish Lakes One Lot N, o.
Site Plan Name: Block No.
Project Name:
i
w L _.
DE�TAI'LE® D,E�SCRIP,�Tf®N OF W®RK r "'
s �
Demolition of Mobile Home
Additional work to be performed under this permit—check all that apply:
i
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft iof Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: —Sewer _Septic Building Height:
: �
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 772-878-551;3
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 REC01213ED Notice of Commencement is required..
if value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
I
J
i
S"U`PPEMERITAL CONSTRIJC N LIIEN LAW IN`FOR�11/I/aTl®N:
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 fequested 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-resideritial 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 :DOB SITE BEFORE THS FIRST INSPECTION. IF'YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTjgF OF COMMENCEMENT."
S' a ure wner/Lessee/Contractor as Agent for Owner Sig r?FFLORIDA
ractor/License Holder
STATE OF FLORIDA STATE
COUNTY'OF �- COUNTY OFL- -mac_- —
The forgoirg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 2�__by this\- day of Ste_ 20 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 Produced
,--rl,�w
�—
•jSignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. �W.M SUSAN
••M LAFL UR Commission N
?k *: MY COMMISSION#GG 356204 ;°o'R°! �; SUSAN LAFLEUR
.-AmP February 023 :+; nC �/El
•,F•....•U,.• �A. •C, EX
IY
REVIEWS d' Publi u OR PLANS VE Bon N un� if
ROVE
COUNTER REVIEW REVIEW REVIEW EW
DATE
RECEIVED,
DATE
COMPLETED
Rev.2/7/19
i
I .