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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� % (0 Permit Number:
6GANNEU
BY ~ St. �IcieC ountt
RECEIvF.r,_
Buil�ing Permit Application DEC / 8 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof II
PROPOSED IMPROVEMENT LOCATION:
Address: 6200 NUEVO LAGOS
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
PropertyTax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
REPAIR OF A 24' SECTION OF 2X4 FASCIA AND 316 SF. OF ROOF DECKING
Lot No. 6200
Block No.
CONSTRUCTION INFORMATION:
rtiona worKtODenertormed under
tispermit—checKall
apply:
❑HVAC GasTank
❑Gas Piping
_Shutters
❑Windows/Doors
❑ Electric ❑ Plumbing
[]Sprinklers
❑ Generator
❑ Roof
Total Sq. Ft of Construction: 316
S Ft. of First Floor:
Cost of Construction: $ 2,200.00
Utilities:cnSewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP.
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 SUITE 402
Company: WYYNE DEVELOPMENT CORP.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGC03599
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. d / 0
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADENSBRADEN
MORTGAGE COMPANY: _ Not Applicable
Name -
Address: 417 COCONUT AVE.
Address:
City: STUART State: FL
Zip: 3499e Phone: (772)237-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 afull 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA s+ L L7 Ll�
COUNTY OF
O s
Signature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF L L) C_L-12
The fo oing instru ent was acknowledged before me The forgoing instru ent was acknowledged before me
this V day of�, 201(g-by this F day of . 20(_(,2__ by
Ma Lwde- c,Juntit- ('Yla.:�r-i, ) CA, IeI 1kru,
(Name of person ackno dging) (Name of person ackno ging )
(Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida )
Personally Known Y— OR Produced Identification Personally Known
Type of Identification Produced Type of Identification Prrodt
Commission NOFFq-7 .,,,.y� Public Stets of Flw C mission No. /Cla n
Revised 07/15/2014
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