HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLI A1BLE fNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
} FEB 2 5 2022
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Building Permit App�ication�t��ePmlftOlflgn�
Planning and Development I
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
,phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
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ERMITTYPE: I j
PROROSED,I,M�PaROUE?MIENTL®CATIQ;N;.
Address: �� ��� ,� �s-� Port St. Lucie, FL 34952 1
Property Tax ID#: part of 3414-501-1701-000/9-Spanish Lakes One Lot No.
Site Plan Name: Block No.
Project Name:
DETALE®�®ESCRIiPT�[OFIV ®`E. W�®`RK� 4 �: � :. d4 � � �� --
, a
Demolition of Mobile Home
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CONSTRUCTION�INF,ORMi4Tl®N r 14' � k` -
r �p 4<.ear^ s ". �+
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:
CONT
: _
f Iame Wynne Building Corporation Name:Matthew Lyle Wynne
�ddress:8000 South US 1, Ste 402 Company:Wynne Development Corporation
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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
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E-Mail:sue@wynnebc.com Phone No 772-878-5513 1
nnebc.comw j
Full in fee simple Title Holder on next page if different E-Mail sue @ Y
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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SLJPyPLE�MENT� L ®�S R��ll ' LyIEI� 1AU1/ �NF®R
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Z11p: Phone Zip: Phone:
1� -
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
O1 I NER/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 c`,onsideration 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
"WIARNING 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'YOU igDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI PCOMMENCEMENT."
�ikn re of ner/Lessee/Contractor as Agent for Owner ZTAT
e o ontractor/License Holder
ATE OF FLORIDA OF FLORIDA
CII OUNTY OF �_,_a o� COUNTY OFF
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The for oing inst'�r me`nt was acknowledged before me The forgoing.instru,ment was acknowledged before me
this day of` r�•cc�,�2Q�by this o`;!- lay of"'�.e�.^c mac., 2(fi 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 Produce J 7
.(Signature of Not s �(S'gnature of N " y
SUSAN LAFLEUR ;`otP...... I SUSAN LAFLEUR
Commission No. '? 'c: MYCOMMISSQ9yAPG356204 Commission No. - ' :*= IWCOMMlJg@ygGG35620d.
•9>F oP`•' EXPIRES:February 23,2023 EXPIRES February 23,2023
.,OF F�,.•', Bonded Thru Notary Public Underwriters ''•FjiF d;°Q� Bonded ihN Notary Public.Underv�riters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW .REVIEW REVIEW REVIEW REVIEW REVIEW
DATE !
RECEIVED
DATE
..COMPLETED
Rev.2 7 19
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