HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: � 5 d — a t`�5
REC_EIb'ED APRW20 2015-
®
Building Permit Application
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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:y3 �����-w�a� Port St. Lucie 34952
Legal Description: part of 3414-501-1701-00019-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: r
Setbacks Front Back: Right Side:• Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile hon le
FCONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
11HVAC Gas Tank Gas Piping _Shutters E]Windows/Doors
11 Electric E]Plumbing L]Sprinklers Generator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �C7O�� Utilities:cnSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne 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. 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 LAVs/ INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address.-
City:
ddress: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:
I 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,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments,
The following building permit applications are exe pt from undergoing a full concurrency review:room add• ions,
accessory structures,swimming pools,fences,w IIs,signs,screen rooms and accessory uses to another non esidential use
WARNING TO OWNER:Your failure to ecord a Notice of Commencement may result in your aying twice for
improvements to your pro e .A tice of Commencement must be recorded and po ed on the jobsite
before the first inspecti . I ou " tend to obtain financing,consult with lender o n ttorney before
commencingwork a din our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stLuele COUNTY OF st-Lucie
The forging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this y of ( �Q 20`�ny this�;N dayof .20 —by
Matthew Lyle Wynne Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
ignature of Notary Public-Stat lorida (5gna ure of Notary Public-State oQpflda)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ''""` Commissi ;,�„ tiEE
MY COA�ON Y FF 187647 . •?v�tis
•., a EXPIRES:February 23,2019 ;►: tr MY COMMISSION R FF 187647
0AA4A4UPJWta;y;!11bk11".4 !I EXPIRES'FOI)AIM PR PAUS
y� Bonded ThN Notary Pubk UndenvrRere
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
AiINITIALS
Planning.,&oevelopmentservlces ASBESTOS NOTICE
:building&Cade Regulation Qiosion,
2300 Virginia Avenue.
Fp Pierce,FL 34982,
Phone(7721462-2172 Fjx(772)462-qM
Asbestos Notice to Contractor
April 28, 2015
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952 copy
RE: Building Permit Number 1504-0495
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
2� r
Date
4/28/2015 12:45:27 PM