HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED jj O
Date: '�5 ' BY Permit Number: /2 V c�
St. Lucie County RECEIVED
I'
Building Permit Application APR 10 2015
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 Residential
PERMIT APIPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Port St. Lucie 34952
Address: - - - - --- - - - -
Legal
Property Tax li #:
Site Plan Name: _
Project Name:
Setbacks Front
part of 3414-501-1701-000/9 - Spanish Lakes One
Back: Right Side: Left Side:
OETAIL"ED DESCRIPTION OF WORK:
Demolition of mobile home
Lot No.
Block No.
CONSTRUCTION. INFORMATION:
AdclitionalworKtobenertormedunder this permit- check a apply:
E1HVAC EJ Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 1:1 Plumbing Sprinklers Generator EIRoof
Total Sq. Ft of Construction:
Cost of Const luction: $ _
S Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:.CONTRACTOR:.,:;
NameWynne Building Corporation
Name: Matthew Lyle Wynne
Address:800d� South US 1, Suite 402
Company: Wynne Development Corporation
City: Port St. Lucie State:FL
Address: 8000 South US 1, Suite 402
Zip Code: 34952 Fax:772-878-0224
City: Port St. Lucie State: FL
Phone No.772-878-5513
Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com
Phone No. 772-878-5513
Fill in fee simple Title Holder on next page ( if different
E-Mail: sue@wynnebc.com
from the Owner listed above)
State or County License: CGC035999
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: I Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that nd 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 a full 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
commencinzwork or recording your Notice of Commencement.
_ Signature ofOvgner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this L day of gPR I L , 20 Lrby
Matthew Lyle Wynne -
(Name of person acknowledging)
(Signature of Not2W Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identificatitionfftrpdpr _
y
"'�� DOROTHY ANN BASKIN
PLB �i
Commission NJ Notary Puftalttate of Florida
• + : • E My Comm. Expires Oct 2, 2016
Bonded Through National Notary Assn.
Revised 07/15/ _
s
Signature of actor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this / �i day of 09j°R 20 -ZC by
Matthew Lyle Wynne
(Name of person acknowledging)
,kQ40,1
(Signature of Not Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
DORma+PN BASKIN
Commission No. �P �e ••
+ Notary Public - State of Florida
My Comm. Expires Oct 2, 2016
:N M 4
4,Commission # ff 015226--
nded Through National Notary Assn.
I
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DATE
COMPLETE
INITIALS
Planning 8
Building & C
2300
April 10, 2015
lopment Services
teguiation Division
iia Avenue
FL. 34982
2 Fax:(772)462.6443
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT STLUCIE, FL 34952
ASBESTOS NOTICE
Asbestos Notice to Contractor
RE: Building Permit Number 1504-0200
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
Date
4/10/2015 11:03:52 AM