HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S11sla1 Permit Number: a\OS-O�'3�
-- 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:
PRQPOSED I,IVI'PROUEMENT LOCATIONi:.
Address:���wt���� �r M.�(�. 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:
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DETAILEDD,ES CRIP�TIONOFW®RK 'w flsa ' r
Demolition of Mobile Home
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CO'NSTRUCTI,6110FORMATI®N= N
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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:
OWNER/LESSEE i
ffi CONafRti4CVTOR ¢
:.
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
Frill in fee simple Title Holder on next page Q 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.
I _
�UPPLEM T�L O S �C ®N LI1E�I LA1N I FO IVI, TI111,,ON� I,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City:_ State:
zip: Phone Zip: Phone:
FEE SIMPLE TITLE BOLDER: _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 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
I POSTED.ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
!WITH*YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F COMMENCEMENT."
ag��o
ature of r/Les Contractor as Agent for Owner Si ure ntractor/License Holder
i �
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � c. COUNTY OF --52—
Thi eiforgoing instrument was acknowledged before me The ing.instrument was acknowledged before me
tliis�l'ay of 20 by thisfor day of 20aA 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
c_
71
(Signature of Notary Public-State of Florida) (Mature of Notary Public-State of Florida)
i
,'r?... SUSAN LAp Commission N YP SUSANLAF Commission No. Y • R
o. )
R MISSION GG 36204 ;*; P ';,: COMMISSION GG 356204
EXPIRES:February 23,2023 EXPIRES February 23,2023
$F,Fbonded hru Notary FuDlic Undarwriters 8 nded Thru Notary Public U derwriters
REVIEWS �� ZONING SUPERVISOR PLANS VE OVE
COUNTER REVIEW .REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7 19
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