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All APPLICABLE INFO MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED
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Date: 42 77W-jai Permit Number:
o RECEIVED
Building Permit Application FEB 171011 t
Planning and Development Services Permitting pe
Building and Code Regulation Division St Lucie Cou tyent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
PROPOSED<IMPROOVEMENTL®CATI.ONi:. 4 a
Address: �`Q������� ct_'(� �n 5� 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:
k.vx. s4iiv �''k�t -.'a+l ,✓, 'v I cF Ate-:_'4vz'a''Y',
DETAPLED ®E�SCRIPyyT[®N ®F WORK k � `k4 E
Demolition of Mobile Home
CONSTRUCTIO��NI�LN�FORIM�ATI<®N � -
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Additional work to be performed under this permit-check all that apply:
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Mechanical _Gas.Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: ! Sq. Ft. of First Floor:
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Cost of Construction.$ 500.00 Utilities: —Sewer _Septic Building Height:
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OWNER/JJESS`EE ; IC®NTRA'CT®R '
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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 I Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com Phone No 772-878-5513
Full 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$2506 or more,a RECORDED Notice of Commencement is required. t
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. g
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DESIGNER/ENGINEER: _Not.Applicable MORTGAGE COMPANY: _Not Applicable I
Name: Name: ,
.Address: Address:
City: State: City: State:
Zi!p: Phone Zip:_ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
city: City:
Ziip: 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 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 PAVING
TWICE .FOR IMPROVEMENTS. TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST.BE RECORDED AND
1'POSTED.ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
!WITH YOUR LIEDIDEWOR'AN ATTORNEY BEFORE RECORDING YOUR NOTICE—OF,—COMMENCEMENT."
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Sig re of er/Lessee/Contractor as Agent for Owner Sign of Co for/License Holder
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ST OF FLORIDA STATE F FLORIDA
COUNTY OF-� COUNTY OF S"
TI a forgoing instru. ent was acknowledged before me The forgoing.instr ment was acknowledged before me
this day of M�r�, ,20 by this day o 20Z— iy
Matthew Lyle Wynne Matthew Lyle Wynne
Name of person making statement. Name of person making statement.
Personall Known X OR'Produced Identification Personally Known X
y y OR Produced Identification
Type of Identification ! Type of Identification
Pioduced Produced
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(Sig an ure of Notary Public-State of Florida) Signature of Notary Public-State of Florida)
Commissi N ,YPU'' SUSANLAFLEUI�Seall Commissi tltf"°' ;: SUSANLAFLEUR (Seal
5620
MY COMMISSION##GG '' ,*: MY COMMISSION#GG 356204
<: ES:February 23,?.023 :' , o EXPIRES:Februa 23 2023
Bonded fire otary Public n erwu • Fd..° Bonded Th Notary Public Underwrite
REVIEW SUPERVISOR PLANS Ft ' r ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETED
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