HomeMy WebLinkAboutSUBMITTED PAPERSDate:
' - _ Due:
Permit #
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
El Shed 0 Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 5 Hermosa, Port St. Lucie, FL 34952
2. Parcel ID Number.: Part of 3414-501-1701-000/9 Spanish Lakes I
Office Use
Section
Township
Range
Map Page
Zoning
Land Use
Initial
Only
3. Description of Project or Work Activity: M o h; l e -Home D e m o l i t; n n
4. Owners Information 5. Contractors Information
Name: Wynne Building Corporation FLReg/Cert#: CGC035999
Address: goon S- Ij_B_ 1,,; r P 402
County Cert#:
City: Port- S t- _ T. I, r i P State: F T,
Zip: 34952 Phone: 878-557 3
6. Value of Construction: $
Business Name:
8898
Wynne Development Cc
Phone 878-5513 Fax 772-878-0224
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and t I work will be
in compliance with all applicable laws regulating construction and zoning.
Matthew Lyle Wynne
PRINT QUALIFIERS/OWNERS NAME
STATE OF FLORIDA, COUNTY OF S t . Lucie
SIGNATURE OF QUALIFIER/OWNER
ACKNOWLEDGED BEFORE ME THIS 17 t h DAY OF
SePt•.2o 44,By Matthew Lyle Wynn TOR RWHOHASPRODUCED
AS IDENTIFICATION.
Susan Maaee (seal)
SIGNATURE OF NOT TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC
COMMISSION NUMBER
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St. LucieCounty Specialty Permit Application rev. 8/25/05 dmg ,
NOTICE TO OWNER: FAILUR!_-, — � RECORD A NOTICE OF COMMENCEMEN"` '- AY RESULT IN YOUR PAYING TWICE FOR
IMPROV NTS TO YOUR PROPERTY. IF YOU INTEND )BTAIN FINANCING, CONSULT WITIj 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
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of the
property where the building activity is taking place.
Indicate the tax identification number of the property
where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the property
on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license number
and the name of the business doing the work.
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
September 19, 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 1409-0287
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
�-- l C(_ ( C,
Date
9/19/2014 11:10:31 AM