HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-_ OWNER/LESSEE _ ..
CONTRACI"OR:.;_
Name Wynne. Building Corp..
Name: Matthew-Lyle.VVynne'
Address: 8000 South US FWw . 1 Suite 402
Company: Wynne:Development Corp..
City: Fort St. Lucie State: FL
Address:.8000 South US Hwy: 9 Suite 402 . . w.
I I " 34952.:.. 772 878-7656 ..
Zip Code: Fax: i -.•)
' Port.St.. Lude .':.-. FL. .
City: Stater
J 772 878-5513
Phone.No: ( ).:
' 34952- . 772 87877656
Zip:Code:: :Fax: (. )
E-Mail:
Phone No.:(772) 878-551:3
Fill iofpq simple Title Holder. on. next. page (if.different.
E= .Mail.:..
from the Ownerlisted above) '
State or County Licenser CGC03599 ".
If value of. construction is $2500 or more,. a RECORDED Notice of Commencement. is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:"
DESIGNER/ENGINEER: _ Not Applicable'
MORTGAGE:COMPANYc .. Not Applicable- ... .
.. . —.
Name:: Braden & Braden. :.. :..
Name:
Address: 417 coconut Aye.
Address:: . .
City:, !'Stuart State: FL.
City: -State:
Zip: '34996Phone:_ (772)287-8258
I:
Zip: Phone::
.
FEE.SOMPLE TITLE HOLDER: _ Not.Applicable�
BONDING COMPANY:. Not Applicable
Name::- -
Name:
Address:.
Address:
city:
city:.
Zip: Phone:
Zip;..,i Phone:_
,i .
I certifythat no work or.installation has.commenced prior to the issuance.of:a permit. : .
St. Lucie Counttyy"makes no representation "that is'granting a:permit will'a"uthorize:the permit holder -to build the subject structure
which is in conflict with any applicable Home Owners Association ru I es, • byl awsorand co4en6nts 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 l will, in. all respects, perform the work
inacco!rdance with the-approved:plans, fhe Florida Building Codes and St: Lucie:County.Amendments.
:The'followin build'in" permit. applications are exem t from undergoing a.full concurre icy review: room additions;
g gp Pp p.
accessory structures, swimming pools;fences, Walls, signs; screen rooms and accessory uses to a,nother.non =residential use.
WARNING TO:OWNER:.Your failure. to -Record a Notice of-Com.mencement may.resul.t inyour.:paying twice for
improvements to your:property. A.Notice.of Commencement m.ustbe recorded and posted on the jobsite
before the.fi;rst inspection. If.you intend to obtain. financing, consult with I;ender or an attorney before
commencing work or recordin : our Notice of Commencement..:
f .... s..
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder -
STATE OF FLORIDA STATE OF FLORIDA:.
-COUNTY-Of 5, ; I�-�.�c « COUNTY OF ST E.0 cr €
The forgoing instrument was acknowledged before me The forgoin� instrument -was acknowledged before.hie
this `lay of Su i•r �- 20 LUby this. Bay of �u �+C 20 I by
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rrr.iY y Nn1 rf r�!I,� rrr�wycE
(Name of person acknowledging). (Name.of person. acknowledging)
I
(Signature of Notary ` /lic-'State of Florida) (Signature of Notar blliic= State of Florida )
Personally Known- ✓ OR Produced Identification Personally Known V. OR Produced Identification
.Type of Identification Produce Type of Identification Produced
'� , , ;6•a, �DOROTHYANNBASKIN
Commission No.. a'
:�s COMMIS9l )GG 030145 Commission N �1:: 0'��. DOROTHYANN( Ik
I1 tea, yaw Y� .
EXPIRES:October2,2020 ��e MYCOMMI8SION#GG030145
': • •4nn&A Thru Notary Pubiic Undem teis EXPIRES: Oc obe
Bonded Thru Notary.Public Underwriters
Revised 07/15/2014.
REVIEWS : - . FRONT: ZONING SUPERVISOR ':PLANS VEGETATION - SEA TURTLE - MANGROVE
C.OUNTER. .= REVIEW REVIEW:. REVIEWREVIEW. REVIEW REVIEW
DATE
COM 0,,LETE
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INITIALS