HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
P a i
- - ---- 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:
PROPOSED IMPROVEMENT LOCATION;:
Address: 5� &- c_- � J\,�3& '\ . 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:
DETAILED DES.C11 PTI N+OF WORK: ^-
Demolition of Mobile Home
CONSTRU.CTIO'Ni INiFOiRMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _i Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 500.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE C06V�TRA.CTOR:
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 rn fee sirnpQ a Title Holder on next page (if different E-Mail sue@wynnebc.com
from the Owner Rsted above) State or County License CGCb35999
If value of construction is$2500 or more,a(RECORDED Notice of Commencement is required.
If value of HVAC is$71,500 or more,a(RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _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:
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.perrnit 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 OFCORflMENCEMENT MUST.BE RECORDED AND
POSTED ON 'TIE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
!WITH YOUR LEBWR OR AN ATTORNEY BEFORE RECORD114G YOUR NOTICE OF COMMENCEMENT:'
Si ur ner/Lessee/Contractor as Agent for Owner =STAOF
ntractor/License Holder
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STATE OF FLORIDA ORI A
C®UNTY OF�� _ ��c�e_ COUNTY OF
The for�oing in is r�ument was acknowledged before me The for�o�E* gin tru1ment was acknowledged before me
tliis�day of 20� by this a day o�c_--�-Ns` ,20DA_ 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
n
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commissi714,iull!
SUSANLAFLEUR Seal) Commiss' 1l yu� S iS FLEU
aN a R (Sea
N GG3 6204 ' IMY COMMISSION#�GG 356204
c� EXPIRES:February 23,2023 '*
°F; Bonded Thru No ry Public Un erwnte ;;F• o F`
P,F F;. Bonded Thru o Public Underwriters
REVIE UPERVISOR PLANS VIANGROVE
COUNTER REVIEW .REVIEW REVIEW REVIEW ;REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2 7 19
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