HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Date:
RECEIVED Permit Number:
•
I � RECEIVED
Permitting Department 0
St. LUC0 ing.Per o�t-APPIka-VOn OCT 15^2021':
Planning and Development Services Permitting De
ment
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982 ty
Phone: (772)462-1553 Fax:(772)462-1579 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: ��� �� ` o e �-�2� Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-00015 Spanish Lakes Riverfront
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
'Setbacks Front Back: Right Side: Left Side:
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Demolition of Mobile-Home
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Addition,51 worK to Dp, a or;me , unclerthis permit—ch ec "a apply:
[1HVAC 0 Gas Tank DGas Piping _Shutters Windows/Doors
®Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 500.0.0 Utilities:0Sewer Septic Building Height-
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(Name WYnne Building Corporation Name:•M fheW LyleWynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation i
City: Port St. Lucie State:FL Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax: 772-878-0224 City: Port St..Lucie I State:FL
Phone No. 772-878-�5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com Phone No. 772-878-5513
Fell in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
from the Owner lasted above) State or County License: CGC035999
Sir q S
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�a rite,DESIGNE ENGINEER: _Not Applicable MORTGAGE COMPANY, ^Not Applicable'
Name: Name:
Address: Address:
City: State: City: State: 1
Zip: Phone: Zip: Phone'
FEE SIMPLE TITLEHOLDER. _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 OWNED:Your failure to R6cord 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
commence recoHing your Notice of Commencement.
I
s
o!_§ignatur caner/Lessee/Agent . Sign Contractor/License Holder
STATE:OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_\_\..•day of 20-4—Aby this\K day of_mac-�t� .20aA by
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of person acknowledging) (Name of pecstSn acknowledging
tgna ure of Notary Public-State of Florida) (Stgn ure of Notary` ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Type of Identification Produced
11n'rv,'G SUSAN LAFLEUR
Commis off! MY COMMISSION#GG351) Com s3Fr.lili�., SUSANLAFLEUR Sal
�•i; �o EXPIRES:February 23,2 23 ,' t: MY COMMISSION#GG 356204
BondedThtuNoiaryPublicUndervuritets ; 23 2023
Bonded 7hm Notary Public Undenvritets ,
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER ' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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