HomeMy WebLinkAboutSUBMITTED PAPERSSCANNED
BY
St. Lucie County
❑ Electrical
❑ Shed
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 3.4982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
❑ Plumbing ❑ HVAC ❑ Fence
0 Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 3 Flamenco Way, Port St. Lucie, FL 34052
2. Parcel ID Number:
3Awm� Aw-
Office Use
F—To—inship
Range.
Map Page
Zonin
Land Use
' i s
Only
3. Description of Project or Work Activity: Mo ; I - Hom Demolition
4. Owners Information 5. Contractors Information
Name: Wynne Building Corporation FLReg/Cert#: CGC035999
Address: g o o n S. 17 _ S- 1,- .�„ i t- P 40 County Cert#: 8898
City: Pert- st- - r.nc; P State: Fr, Business Name: Wynne Development Cc
Zip: 34952 Phone: 87.8-, 513 Phone 878-5513 Fax 772-878-0224
6. Value of Construction: $
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct d that all work will be done
in compliance with all applicable laws regulating construction and zom
Matthew Lyle Wynne
PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QU
STATE OF FLORIDA, COUNTY OF St. Lucie ACKNOWLEDGED BEFORE ME THIS 17th DAY OF
Sept. 20 1 4 , BY Matthew Lyle Wynne O IS PERSONALLY KMNOWWN TO WHO HAS PRODUCED
AS IDENTIFICATION.
Susan Magee.
SIGNATURE OF NOTA TYPE OR PRINT NAME OF NOTARY (seal)
TITLE: NOTARY PUBLIC COMMISSION NUMBER
St. Lucie County Specialty Permit Application rev. 8/25/05 ding
091' PRO, SUSAN MAGEE
MY COMMISSION # EE 037286
4 EXPIRES: February 23, 2015
%r�;oF,: `' Bonded Thru Notary Public Underwriters
NOTICE TO OWNER: - ' nILURE TO RECORD A NOTICE OF COMMENCEN,' "'r MAY ;RESULT IN YOUR PAYING TWICE FOR
�PROVEMENTS TO YOUR PROPERTY. IF YOU INTJ- TO OBTAINFINANCING, CONSULT WITH YOUR
9XDER 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
❑ IWA, C 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 thi!sp6 emit requiredruppections.can be scheduled by.calling (772) 462-1261.
St. Lucie County Specialty Permit Application'rev. 8/25/05 dmg
ri V'�Oan�F ti
Planning 8. Development. Services
Building & Code Regulation Division
2306 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 4.02
PORT ST LUCIE, FL 34952
ASBESTOS NOTICE
Asbestos Notice to Contractor
RE: Building Permit Number 1409-0288
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
- ( C(- t. 6-f
Date
9/19/2014 11:10:17 AM