HomeMy WebLinkAboutSUBMITTED PAPERSDate: f h
Fee Due:
t# ` Permit # ►_ i
❑ Electrical
❑ Shed
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
❑ Plumbing
® Demolition
❑ HVAC ❑ Fence
❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: \0
2. ParcellDNumber: 3427-111-0002-000/5 Spanish Lakes Riverfront.
Office Use
Only
Section
Townshi
Range
Map Page
Zoning
Land Use
Initials
3. Description of Project or Work Activity: Mobile Home Demolition
SCANNED
St. Lucie Counfit
4. Owners Information
Name: Wynne Building Corporation
Address: 8000 S .. U.S. 1, Suite 402
City: Port S t . Lucie State: FL
772-
Zip: 34952 Phone: 8 7 8- 5 513
6. Value of Construction: $ & 206V.0 d
5. Contractors Information
FL Reg/Cent #: C G C 0 3 5 9 9 9
County Cert#: 8898
Business Name: Wynne Development Corp
772-
Phone 878-5513 Fax 772-878-0224
OWNER'S AFFMAVff I certify that all of the information contained in this application is correct and that all work will be done
in compliance with all applicable laws regulating construction an mg.
Matthew Lyle Wynne
PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF'Z -",- ACKNOWLEDGED BEFORE ME THISc;3% DAY OF
20L�,_ BY +cud WHO IS PERSONALLY KNOWN TO ME WHO HAS PRODUCED
AS IDENTIFICATION.
_ 4 -Q (seal)
SIGNATURE OF NOTW TYPE OR PRINT NAME OF NOTAR
TITLE: NOTARY PUBLIC COM USSIO
04eCi P. MY COMMISSION # EE 037286
I' a•;a EXPIRES: February 23, 2015
Bonded Thru Notary Public Underwriters
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg
NOTICE TO OWNER: FAILURE TO'_"CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address Indicate the street address or general location of the
property where the building activity is taking place.
2. Parcel ID Number Indicate the tax identification number of the property
where the building activity is taking place.
3. Description of Project or Work Activity Fully describe the activity to take place.
4. Owner Information Indicate the name and address of the owner of the property
on which activity is taking place.
5. Contractor Information Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license number
and the name of the business doing the work.
6. Value of Construction Indicate the total value of the work to take place. Total cost
_of construction_ includes all -current retail material -and labor --
costs associated with the building/construction activity.
Construction value is used to determine the permit fee. St.
Lucie County reserves the right to question and/or modify
the 'indicated value of construction if it is demonstrated that
the submitted figures are not consistent with similar types
of construction.
❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort
Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications
will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call
(772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE. Emergency, electric service change out inspections will not be performed after 3: 00 PM without
special arrangements and additional fee paid.
Upon issuance, of this permit, required inspections can be scheduled by calling (772) 462-1261.
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue.
Fort Pierce, FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
October 24, 2014
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
ASBESTOS NOTICE
Asbestos Notice to Contractor
RE: Building Permit Number 1410-0357
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
Signature
0 � �
Date
10/24/2014 11:27:07 AM