HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONABA APPLICABLE INFO MUST BE C®n411Z ETED FOR APPLICATION) TO BE ACCEPTEF,
Date: Permit Nu �.... ,r: V[ I0 %- o le-rN
RuHdIn.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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
Address:
Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Demolition of Mobile' Home
�HVAC 0 Gas Tank
® Electric ElPlumbing
Total Sq. Ft of Construction:_
Cost of Construction: $ 500.00
Lot No.
Block No.
Right Side: Left Side:
Gas Piping � Shutters Windows/Doors
Sprinklers F]Generator ®Roof
S Ft. of First Floor:
UtilitiesSewer ®Septic Building Height:
Name Wynne Building Corporation
Address:8000 South US 1, Suite 402
City: Port St. Lucie State:FL
Zip Code: 34952 Fax: 772-878-0224
Phone No. 772-878-5513
E-Mail: sue@wynnebc.com
FiBI in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:'Matthew Lyle'Wynne
Company: Wynne Development Corporation
Address: 8000 South US 1, Suite 402
City: Port St.. Lucie State: FL
Zip Code: 34952 Fax: 772-878-0224
Phone No. 772-878-5513
E-Mail: sue@wynnebc.com
State or County License: CGC035999
if value of construction is. $2500 or more, a RECORDED Notice of Commencement is required.
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Not Applicable
DESIGNER/ENGINEER: = rdot Applicable
Name:
Name:
Address:
Address:
City
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDEN: _
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 your Notice of Commencement. 00,
Lessee/Agent.
STATE OFRIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this day of �_ a�— 20 �•by
Matthew Lyle Wynnh-
(Name of per 'cknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identificatiorrp
Commission No.
Revised 07/15/2014
MY COMMIVRP GG 356204
�,YPIRES: ebruary23,2023
Bonded Thru Notary Public Underwriters
STWE OF�OIRIDA
COUNTY CIF SL Lucle
The forgoing instrument was acknowledged before me
this Sdayof__
Matthew Lyle Wynne
(Name of p acknowledging )
'Migirmfure of Notary Pub ic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 356204
EXPIRES, Feb.w72s—,2o2a--
Bonded Nu Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
COMPLETE
INITIALS