HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: Permit Number:
RFC r'-D APR'24
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34952
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrowat the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Port St. Lucie 34952
Legal Description: Part of 3414-501-1701-000/9-Spanish Lakes One
Property Tax ID#: 1 y- So 6<36 -q Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:, Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional work toe e orme under tis permit-c ecc a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ \C)0.00 Utilities: Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 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. LucieState: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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no 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,perfo)ren
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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 ad
accessory structures,,swimming pools,fences,walls,signs,screen rooms and accessory uses to another noal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in yourice for
improvementstb your property.A Notic f Commencement must be recorded and postjobsite
before the first inspection. If you inte o obtain financing,consult with lender r attfore
commencingwork or re ordin Notice of Commencement.
s
_Signature of Owner/-Lessee/Agent Signature of ra ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgo'ilng instrument was acknowledged before me The forgo*�ng instrument was acknowledged before me
thisQ[Lr may of �� . 20\��by thiQ:E ay of � .\ 20 \S�by
Matthew Lyle Wynne Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic- tate o da) ( gnature of Notary Public-St f Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
?fi. SUSAN MAGEE SUSAN MAGEE
__•. + My COMMISSION/FF ='; MY COMMISSION i FF 187647
February 23,2019 �' �•' a 23,2019
Revised 07/15/
6�tBonded Thm Notary Public Undemilera '�'�Af Bonded Th Notary Pubfw Undonrri.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Plann)ngBDevelopmentSen►ices ! ASBESTOS NOTICE
Bu_6&;Code Regulation Diwsion:.
.2360 00Ma;Avenue.
'ForfPte[ce,F
Phone(7721462 2172_L 3Fk-1772146"- F
Asbestos Notice to Contractor
April 24, 2015
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402 opy
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1504-0437
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
4/24/2015 10:35:49 AM