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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: q�_ s Buildlan .Per it-Appl:lc'-aon 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line N�"'<!.i1.i0 M L i lI» u Address: Port St. Lucie, FL 34952 Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: , 7.29t�rrvrg s5}. i�Jy'��;•+�,y➢N,;.-.�„•,.,r..,...--o,.�p;�•:a.-, rv;v:,��...y.�,v. r, ,x - . ,-is�J A��N�7i.r�r'�'T. �v{[sn�J�➢a�a�.d +-�r �i����: ik'7T'2�� L'�%'i'g;S,+ rvq Oil E����11 ',a•'„r�z�,,U`- „fie-' ,;7r�Ea ➢��" .� r�',��.z tix�� .��-�,.p �f��.� ���'';S°��fi � '°��� r��` a� :�.,�•'�'" ���� r ,,ggyy�''FF'' � afcwl.51,� ' Demolition of Mobile*Home it ing" �19,[Vn�� �+5 .u'gw%0l��iP'�'a''• Y1`Fiym_••,rr ,- .� r.•,.., r j 4 C�.a< tW ,3( 4�NF S:IfAf �a ,fw un•r. nK G� i 7�" a � �i�a�; �'b�di.��'� ����r��W���x fir',�• p���➢Y'£�.'r �`'��' �l���� � _��,`� � ?��'�� '��'.' e �.r�- r"'t����'^��u'� �a�K 1f � �j u, ;fr�31a2 t4. � � �. ' � t y w r b ➢- 1� ) J }F�+J .� `�''�nM'7r. '.�9a- J'+• i1.". .Lz4..S�h1�.1�. �kaFa.��„ilx-�u��d�n' .�d.�.�t��. itiona -wor to (e nLn orme'' under this permit—,c ec :a apply:' ®HVAC I—J Gas Tank ®Gas Piping _Shutters Windows Doors 11 Electric ®Plumbing Sprinklers 1:1 Generator ❑ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 500.00 Utilities: _Sewer®Septic Building Height: J< .j.r:1' -� sr �(➢r�Sl...�Vr P sl�7�'—es 155�➢pia,e4`�e �.rY cs .s d"+s:v''r... ' .�� .>"' l � .a _'�� i v; 'L �.s+r Mrbo•,r' mot'rr HIM: :S�, #r ,� ,I� i'{� �.* ;�y�,��,1F y;c� .u�.. ,?i ,rtv, +�?' » .f`��'' � u;9" .:�r ,'3S� �•y a:.��,;.+r,•;• ,+t:5<r�,;,r�'• �t5 t sq'r Y.S� r• ���,'LiE����1.:f�i K,:�i3�r t�c�,,�''��i�},is�'Li� �i�.. urn i�..,i%- .J"7' •1`: �� 'a� �' v x,�"� �'�/�s�`}�,S �i��i,n� �-�+�f�t p�IG r� A a,%�� � A, `� >., 1t 3 � 7 i .5 � �� Ih�� ��Y➢ € bm y� ©i � � ! .•v g• a d r 4 � 'a` _ ��+�'"��}a_,.�i� Aid +y'!.�._s`� �.. t+ e C F'.•`�"a 1t'��k:4:�.`N.�..�.-.E�� 'H'0 Name 1NYnne Building Corporation Name; Matthew Lyle Wynne Address:8000 South US 1, Suite 402 Company: WYnne Development Corporation City: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402 Zip Code: 34952 Fax: 772-878-0224 City. Port St..Lucie State:FL Phone No. 772-87&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$2500 or more,a RECORDED Notice of Commencement is required. �,y,.. •...! ,:;'fit r' ,-,r=o--mr. �: ,sx�"f'r:i ,f,u�`';se. c��, x,wnd;- .2�".Tx v7„fir.�'?ii :v.,v�,5� }�;ti,.•f.af.�. s'�'G.r., wy..��,y�._ „p�;..v,y.., r�;4.,��. �u •.m .l �Yf; ��`„71{ Z 9,�k 2'iQ 1'r7 i1'. .i�Hi"', t S e:�'i �,r,;,,�r.7rl;i�rrSt a�..>r�`r� 9ru"J e"'�'kc.,t ce,. ,r�r •'t. _7('.fw \�v,•i t tt .S- 5� r r.,e�,..,..•,w�.R r r!-} {f ' , 1 •< uuuSSS 1�; +f ,cd'(",rS cy��a.t�,� .�,[:.> ��,/.f[�>,�7f p i y t� i:,�} a �$ .d� Nt7i,r S ,5}! �� �.it,w t i, _t�"'.i d I�jyY-9, „t d r. �3.s� c�fSa.•���ILj��i t 1-.Nil A��• ® ^�Ta p���OI.U� IG`� y+L/"1'V������r.i�:�i.�? a,Lt .�,$ �jYt'"„:�,�,<i4�"1 S�i,.�� r. �* ����.��i ti�r ik},�1�' �u�%7•F �2�4�'jC,'-�,cs'�'t tF�•T.l. ,.;�,• r�t� y� xr{�.,,. c:>:-r��� �,.• 5v;,.rb .ri'YN,.�F- .Yb;.,.,3..�,�fy/,�y' !!4� �d',�YY ss ".a,��A�i��1�.3�-r l..t:'�it� � .,L u:E�.,r-kY ;4'�-r.�•�`,. *?.�� ?y4� :tern ;�o4�'r`'9f�a�sx,?„4:�"�u �:�4�a;�i`.','�r'F��a:�:�',�J.a�xi'�' t,� �N�,:�c�+?a5':Y��:;�A ;r�3"'•=ff.�'�i""��.s n y,t,t ,�_!�. , � urkt�.�x,","'1~�, �7, r''1`?3iH � -`{- y�!"b�,..�� �`?X ,,,��t9.�+''y,�5� '.r'v?uF. w s��32.a... � .,d,,,�Y� ��'�.��."�����.'YAIM�..f�F.tx,�"�r,ri �±T� �,.�1?�,, ''•�: ..;�_.hk��.t sN v��s+Y:� " e?f�c�4et;t'�'�t°ka� DESIGNER/ENGWEER: _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: 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. _Sig ure20119DA er/Lessee/Agent . Si re of r- r/License Holder s STATE OF STATE OIF FLORIDA COUNTY OF st Lucle COUNTY OF St.Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day offxs&— 20 this day of �1 .� ,20 by Matthew Lyle wyn4• Matthew Lyle Wynne (Name of pers acknowledgin (Name of per s acknowledging) �-- ignature of Notary blic-State of Florida) (Si nature of Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identifica SUSAN LAFLEUR Commission No. *: ;* MY CO ON#GG356204 MY COMMISSIOt�S�]356204 Commission No. EXPIRES:F bruary 23,2023 ; Bonded Thru Notary Public UndeWters =.;;� oP; EXPIRES:February23,2023 Bonded Thru Notwy Public Underwriters Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE r MPLETE IALS