HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOWNER/LESSEE
CONTRACTOR:
NameNNE.BUILDING
DEPARTMENT ..
Name: MATTHEW LYLE WYNNE .
SOUTH US.HWY. 1--'SUITE 402'
Address18000
Company: WYNNE DEVELOPMENT: CORPORATION'.:.'
STY LUCIE - .. State: FL.
City: PORT
Address:.8000 SOUTH US HWY. 17 SUITE 402
I
Zip Cod:34952
Phone- .Nl'o:
.. . (772) 877656'
(772) 878-5513
: .
.PORT.ST.. LUCIEax: CityStateFL.
Zip Code: -34952 Fax: (772)-878-7656
P6one:No.:(772) 878-551:3-
simple Title Holder on. next -page (if.different' ..
Owner listed above), - '
Fill in.fee
jr 01
' E=Mail.:..
State or County License: 08898:'-
.11
If value of construction is $2500 or more,. a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTROCTIO.N LIEN.LAW INFORMATION:
DESIGNER/ENGINEER: ... Not -Applicable
=MORTGAGE COMPANY: _ Not applicable
.:Name.:.BRADENBBRADEN . :..
Name:
Address: 411 COCONUT AVE.
Address:-:
.City:. STUART State: FL.
City: State: -
Zip: 34996.Phone:; (772)287-8258
. .
Zip: Phone::
-FEE.SI',MPLE TITLE HOLDER: - . _ Not.Applicable
BONDING_ COMPANY:.'' _Not Applicable .
Name:
Name:
Address:.
Address:
City:.. . .
City:
Zip: Phone:
'Zip:.. Phone::
.l certify that.no work or.installation has .C'ommence'd-prior to the issuance -of a permit..
St: Lucie Countyy makes.no representation'thatis'granting a.perrnit 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'( will, in. all respects, -perform the work
in accordance withthe"approved:plans, the Florida Building Codes and'St: Lucie:County.Amendments.
.:The following'build ng permitapplications are exempt from undergoing a full con currency 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
..mprovements to your:property. A. Notic&bf:Commencement must be recorded and posted on the jobsite
.before the.first inspection. lf.you'ihtehd to obtain financing, consult with leride.r or:an.attorney before.
commencing Work or eecordin : "our Notice of Commencement. .
_ Signature of Owner/ Lessee/Agent Signature,of Contractor License Holder .
STATE'OF FLORIDA STATE"OF FLORIDA:. =
COUNTY O.F = 1„u c [ COUNTY OF . -S r : / - c� c
—. l�-�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �Dd day of - U CT'O 13 (E�V2 , 20 Eby, 'thisiaday of ' Q C 'Ta B E -x- .20 L�_ by"
y/ 177 1E'c:J L Yc E . �iJ ?�N a c �4 71W6 .0 yc.€ GU N.r
(Name of person acknowledging). (Name of person -acknowledging )
(Signature of No
Public -'State of Florida)
(Signature of Nota blic- State of Florida )
Personally Known.
/OR Produced Identification
Personally. Known - .. �OR Produced Identification
Type of Identification.
Produced
Type of Identification Produced
Commission No.
`:� '''<''s DOROTHY(0 ASKIN
Commission No.
,."`��°; -DOROTHY/ SKIN
COMMISSIG 030145
in,;�. OMMISSI�N.#�G 030145
;,.
c` EXPIRES; Octolier.2, 2020
EXPIRES: October2, 2020.
Revised 07/1
•REVIEWS FRONT: ZONING .. SUPERVISOR. PLANS •VEGETATION SEA TURTLE . MANGROVE
COUNTER.:. 'REVIEW' .: REVIEW:.. REVIEW.. REVIEW. REVIEW.. .REVIEW..:..
DATE (
COMPLETE .. .. - . .
ll(;.INITIALS