HomeMy WebLinkAboutSUBMITTED PAPERSDate
❑ Electrical
❑ Shed
Fee 7, It# 49i2s 1 11 1 Permit # 11/10
St. Lucie County Building & Zoning '90
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553 ��c°'jnt
SPECIALTY PERMIT APPLICATION y
❑ Plumbing ❑ HVAC ❑ Fence
0 Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
2. Parcel ID Number: Part of 3414-501-1701-000/9 Spanish Lakes I
L��c
Office Use
Only
Section
I Township
Range
I Ma Pa a ,
1,4oning
I Land Use
I Initials
3YI 2L
3. Description of Project or Work Activity: mobile -Home D em o l i t i o n
4. Owners Information 5. Contractors Information
Name: Wynne Building Corporation FLReg/Cert#: CGC035999
Address: 8 0 0 0 �_ IT . s_ 1, s u i t- P 4 o 2 County Cert#: 8898
City: Port- st _ r.1,c, i State: FT. Business Name: Wynne Development Coro
772- 772-
Zip: 34952 Phone: 878-5513 ,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
in compliance with all applicable laws regulating construction
Matthew Lyle Wynne
PRINT QUALIFIERS/OWNERS NAME
and that al ork will be done
SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF Cam- l \A C _ L ACKNOWLEDGED BEFORE ME THIS OF
CGS , 20'%.\. BY WHO IS PERSONALLY KNOWN TO hA__'0_R WHO HAS PRODUCED
AS IDENTIFICATION.
G(� / sc_ � � -� (seal
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NO Y
TITLE: NOTARY PUBLIC CO
Q<A'f-'av SUSAN MAGEE
MY COMMISSION # EE 037286
• EXPIRES: February 23, 2015
Bonded Thru Notary Public Underwfters
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg
NOTICE TO OWNER: FAILU`" - ;0 RECORD A NOTICE OF COMMENCEMEL 1AY RESULT IN YOUR PAYING TWICE FOR
IMPRC. _ 4ENTS TO YOUR PROPERTY. IF YOU INTENT -,,-, 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
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 per ri—t; xcguired'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
FortPierce, FL 3498 ASBESTOS NOTICE
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Asbestos Notice To Contractor
10/25/2011
WYNNE DEVELOPMENT CORP
WYNNE, MATTHEW L
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Numbe 1110-0239
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