HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE I�IFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Nlumber:
•
-- --- 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:
PROPO.S fD. I,M�FROVEMENT LOCATION.
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:
_ _ i ,1
DETAI LEDDES.CRIPTIONOF,�WOR'K
Demolition of Mobile Home
. I
CO'NSTRUCTLO:N 6NF0,RMATI2 N.
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:
it
Cost of Construction:$ 500.00 Utilities: —Sewer _Septic Building Height:
OVIIN;ER%LESSEE: CQNTRA'CTO;f
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
Fiili 1n fee simple Title Holder on next page (if different E-Mail sue@wynnebc.com
from the Owner pisted above) State or County!,License CGC�035999
if value of construction is$2500 or more,a RECORDED Notice of.Commencement islrequired.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
I�
a
:.-, ,{ �.: .n?t1G'f- N;i3�+,•s,H`'r„>.' '.tsti. j rP,u� 'r` _.,.. ? �- — „.. .fh .� r'^'�Y
SPPaLEI�/IiEIvT,$A,L` CONSTRdU�C+�TIOO RI�LIiE�I W R�I�/I/ATIOI�izEF
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
'� Name: Name:
Address: Address: I
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:
Zip: Phone: Zip: Phone:
J
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 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 PAYIMG
TWICE FOR IMPROVEMENTS. TO YOUR PROPERTY. A NOTOCIE OF COMMENCEMENT MUST .BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT90M. OF YOU ONTEND TO OBTAIN FINANCING, CONSULT
WOTH YOURILERIgM OR A ATTORNEY BEFORE RECORDONG YOUR NO OF COMMENCEMENT."
i
Si ture of ner/Lessee/Contractor as Agent for Owner ature ontractor/License Holder
I
STATE OF FLORIDA STA OF FLO
COUNTY OF � c-�� COUNTY OF
The for`g�'ng inst ument was acknowledged before me The foring.instrument was acknowledged before me
tliis� �y of cam- . 203�by th�_day of\, ,`� `.20 a\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
nature of Notary ublic-State of Florida l g ature of Notary P lic-State of Florida)
Y?gam SUSAN LAFLEUCC
Commissi c MNu{tSSION#GG89euf�� Commissi p-:—
= , EXPIRES:February 23,2023 MY COMMISSIONZER
56204
znwnz EXPIR S:Febru2023
REVIEWS, FRONT ZONING SUPERVISOR PLANS AfpdAV�' N write ANGROVE
COUNTER REVIEW .REVIEW REVIEW REVIEW 1 REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ReV.217119
I I