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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE Ci ILETED FOR APPLICATION TO BE ACCEPT Q11© - (V�005 Permit Date: m t Number: saw RECEIVED - Building Permit Applicatior AUG 0 2 2021 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: _- P:,ROP,OSED IMPROVE M#NTr;L®CAyTlONi: m Address: 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: DETAILEp DESCRIP�@§0 F G R O- §M!, -Kfl: flu- �" Demolition of Mobile Home CQNSTRU�CTIO_N�INFGRiM 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: OWIV+ER/LRESSE:E ` �CONTRA'CT®R 1: 1 �. 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:sde@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. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. i �Fll ST° �Jff�=� MA t��J`FOOFt,MATI®N: R_=40MIN-011 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zi'p: Phone Zip: Phone: I FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City:_ Zii 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 cpnsideration 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU:INTEND TO OBTAIN FINANCING, CONSULT !WITH YOUR LEN R OR ATTORNEY BEFORE RECORDIING YOUR NO COMMENCEMENT." I . Si' ure o ner/Lessee/Contractor as Agent for Owner S' a ure of ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF I The forgoing instrument was acknowledged before me The forgoing.instrument was acknowledged.before me this•:_'�,/day of 20?,A, by this2&day of 26_)nJ 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 i, Produced (Signature of Notary Public State of Florida) (Signature of Notary Public--`Sfate of Florida) i Commissio LAFLEUWeal) Commis ) I :o<ra...�c: ;""` FLEUR MY COMMISSION#GG 356204 I :'�'�YP6 y - ` c`. MY COMMISSION#GG 356204 tAPIRM.o? ublic Unde ers a�= EXPIRES February 23,2023 •.E'F Thru F t REVIEWS ruN b rs CRVISOR PLANS,: EtfAoTl�lq� MANGROVE COUNTER REVIEW .REVIEW REVIEW'` _._• REVIEW DATE RECEIVED DATE' COMPLETED Rev. 2 7 19 i i PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Cmmplia>tnee Division \-�—p.------ BUILDING PERMIT SUSIJB- CONTRACTOII;fLGREEMENT A U G O'L 2021 ST. Lucie County, Permitting ARC MASTER ELECTRIC have agreed to be (Company Name/individual Name) the ELECTRICIAN Sub-contractor for WYNNE BUILDING CORP. (Type of Trade) (Primary Contractor) For the project located at (Project Street Addressor Property Tax-ID#) It is understood that,if there is any.change of status regarding our participation with the above mentioned project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of gub-contractor notice. CQNTRACTOR S1 GNATURE(Qu er)".: S -CONT CTOR S NAT.' (Qualifier). ERIC WYNNE CHRISTOPHE JERNIGAN PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of ST.LUCIE State of Florida;County of ST.LUCIE The foregoing instrument was signed before me this ay of The foregoing instrument was signed before me this�day of by ERIC•WYNNE 2621A by CHRISTOPHER JERNIGAN who is personally known or has produced a who is personally imown M—or has produced a as identification. as identification. STAMP Signature of Notary a"lltiyt &"�- STAMP b'c Signature of Notary u lic DO.ROTHY ANN BASKIN DOROTHY ANN BASKIN Print Name of Notary Public . Print Name of Notary Public DOROTHYANN BASKIN oi�:"P. D0R0,1. `"I. rHYMIUMSKIN MY COAAMISSION#HH 045443 :*• �: MYCOMMISSIO #HH 045443 m�j Q,oe EXPIRES:Octker2,2024. �, PW EXPIRES;00015422024 •.,,oR ,••''.BondedTbruNotary:PublldllndeNrtitors ��FF;?•° BondedThru ,mbly.pubbundemitm Revised 11/16/2016 PERMIT# ISSUE DATE PLANNING &DEVEI %.OPM ENT SERVICES Building & Code Compliance Division B0LDIlVG PERMIT. SUE-CONTRACTOR AGREEMENT A U G ® L C C 2 3 ST. Lucie County, Permitting WYNNE BUILDING CORP. have agreed to be .(Company Name/Individual Name) the PLUMBER Sub-contractor for WYNNE BUILDING CORP. (Type of Trade) (Primary Contractor) For the project located at -�_NC7k (Project Street Address-or Property Tax ID#) It is understood that,if there is any.change of status..reg;�iding our participation with the above mentioned project;the Building and,Code.Regulation Division.of St.Lucie County will be advised pursuant to:the filing of.a Change of Sub.=contractor notice. CONTRACT.OR:SIGNATURE°(Qualifier.) SUB CONTRACTOR ATITRE(Qualifier) ERIC WYNNE ERIC WYNNE PRINT NA E� PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of County of ST.LUCIE ST LUCIE Florida, �' .State of Florida,County of l cc// The foregoing instrument was signed before me this ., c� day of The foregoing instrument was signed before me this Ol.bday of 20Aby ERIC WYNNE `. 20,4 :ERIC WYNNE who is personally(mown v__or has produced a who is personally mmown IY or has produced a . as identification. as identification. STAMP STAMP Signature of-Notarorublic Signature of Notary u He DOROTHY ANN BASKIN DOROTHY ANN BASKIN Pr i int Name of Notary Public Print Name of Notary Public .;►?::? ,, DOROTHYMN IMSKIfV tr. ;; .AYCOMMI66101d#'NH045443 Eg& [3OROTHYAP11dBdSKIM s'. EXPIRES:Odober2 2024 . MYCOMMISSIOM#HP10454�3 Q, 'POPE:,?••' .Bonded IhruNolaiyPublfcUriderywite►s EXPIRES:Oclober2,2424. Revised 1,/ 2 -6- �:�,�=s. �;;-! ..--, -. - �� .g:�••�®�.�:ff���>iufl��®;m Win.-• . Im 349.82 46 AUG 02 ST. Lucie County, Permitting l+. Date; - Contractdr Marne: 'MATTHtW LYL•E WYYNNE Busii'iess Nawte: UVYNNE:BUILDING'.GORP. Address:-800.0 SOUTH US.HWY. I. SUITE 402 Clty: PORT ST.. LIME Zip Cbde .344952 State: FL Re: Job Address: Vs- 'It ISyour responsibility to comply.-with•i-he.proi�isions-Of Section 4:69:003,•Florida-Stat'Utes and to notify.`rhe Department'of Environmental'Protection.of'any intentions to re asbesios when ' able.in accordan..ce-w-i h-state�and:�ede�al°law,.Date. move 11-25 -. t�C)'S,�S n cu ZT - -. ,,...r,,,_...1 - -- .,:•:f-H�,.1!ICJ:: ... 114 N M Q 3 q0 N I i I17T , 00 ( AO t 1sb��7 IO/l78 11v �aTNN6'lh�G/ G f/ — � t SL -El�v- LL IYI m _ _ �� ` � � •• ��• rn �' -� . • Wit• � _.�_ • • 1 . .. .. 4._r 1. ,• r,41`i SIP Iy A _ s� j} try