HomeMy WebLinkAboutSUBMITTED PAPERSSCANNED
Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
by SPECIALTY PERMIT APPLICATION
St, Loci
►e County
❑ Electrical
❑ Shed
❑ Plumbing
0 Demolition
❑ HVAC ❑ Fence
❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 67 MKtLtetxanBan Fhst
2. Parcel ID Number: Part of 3414-501-1701-000/9 Spanish Lakes I
Office Use
Only
Section
Township
Ran a
Map Page
Zoning
Land Use
Initials
3. Description of Project or Work Activity: M o b i I, - EI o m e D e m n l, tic) n
4. Owners Information 5. Contractors Information
Name: Wynne Building Corporation FLReg/Cert#: CGC035999
Address: g p O O S_ 4. og County Cert#: 8898
City: Port - t _ r. l , ; P State: F r.
Zip: 34952 Phone: 878-5513
6. Value of Construction: $
J
Business Name: Wynne Development Ci
Phone 878-5513 Fax 772-878-0224
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all wo will be done
in compliance with all applicable laws regulating construction and 'ng.
Matthew Lyle Wynne
PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF St. I I de ACKNOWLEDGED BEFORE ME THIS � DAY OF
20 BY Matffiw LYleWffm O IS PERSONALLY KNOWN TO ME , R WHO HAS PRODUCED
AS IDENTIFICATION.
9 :i"'r lucr''.'a'a
TYPE OR PRINT NAME OF NOTARY
DA WSSION NUMBER
(seal)
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg
NOTICE TO OWNER: FAILURE TO RE ORD A NOTICE OF COMMENCEMENT MA7-77SULT IN YOUR PAYING TWICE FOR
IMPROVEMEN( 0 YOUR PROPERTY. IF YOU INTEND TO OI; , V FINANCING, CONSULT WITH YOUR
LENDER OR A - . iTORNEY 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-pennit`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 ding
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
Phone: (772)462-2172 Fax: (772)462-6443
December 31, 2013
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 1312-0307
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.
J'-� —v-- ignature
Date
12/31 /2013 11:11:53 AM