HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number:
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Building Permit Application
Planning and Development Services
I� Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
PROPOSED Wit
Address:
Address: Vp Port St. Lucie, FL 34952
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Property Tax ID#: part of 3414-501-1701.-000/9-Spanish Lakes One Lot No.
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Site Plan Name: Block No:
Project Name:
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DETAhLED D,ESCRtPTI'QN®F WORICy r y � ,
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Demolition of Mobile Home
CORISTRUC#TIQNINFO,RNIATI'ON fX 2� '" r
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:
OU1/N�ER/LESSEEA3`' C®tNTRi4�CT®R
�_ . .. __.....
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 772-878-55.13,
FBII 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.
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S:U��PLE`�f�/I;E�NTAL� �N�1 ,UC�TI.®�N L(�E�'N LAWS SIF'®RtMAT'l®I�:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Ziip: Phone Zip: Phone:
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FEE SIMPLE TITLE BOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Naame: Name:
Address: Address:
City: City:
zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFI DVIT:.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 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 DER O ATTORNEY BEFORE RECORDING YOUR NOT CE O COMMENCEMENT."
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Sig n re of er essee/Contractor as Agent for Owner Sign ure o ontractor/License Holder
ZTATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -L���2 COUNTY OF
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The forgoing instrument was acknowledged before me The forgoing.irstrument was acknowledged before me
6,is\�� day of) s,, �r4 �20 Z�_by this day 2 \ by
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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
ZSTgKatu a - (Signature of Nota ublic-State of Florida)
otis fig$•., SUSAN LAFLEUR --a[)
Commissiorl{�'.,� gION#G ��4 Co YISN
EXPIRES:February 23,2023 ; SUSAN LAFLEUR
'�-'• MYCOMMISSION G356204
' - �y.; EXPIRES:Fe ruary23,2023
REVIEWS FRONT ZONING SUPERVISOR PLA S'� FV G15TA IONota P�ogrOAMWirk MANGROVE
COUNTER REVIEW .REVIEW REVI REVIEW
DATE
RECEIVED
DATE
.COMPLETED
Rev. 7 19
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