HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 15 Permit Number:
® - i RECEIVED APR'2 8
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 l=ax:(772)4.62-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line pe V�o
PROPOSED IMPROVEMENT LOCATION:
Address: Port St. Lucie 34952
Legal Description: Part of 3414-501-1701-000/9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION OF,WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all that appy:
HVAC L_I Gas Tank ❑Gas.Piping ❑_Shutters Windows/Doors
F]Electric 0 Plumbing Sprinklers 0 Generator F]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ \ CD C7 •U� Utilities Sewer F]Septic Building Height:
OWNER/LESSEE: CO.NTRACTO'R: ,
NameWynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402 Company:Wynne Development Corporation
City: Port St. LucieState: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: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: t`
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:
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 exempt from undergoing a full concurrency review:room additi s,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non- sidential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your aying twice for
improvements to your property.A Notice�of Commencement must be recorded and p ed on the jobsite
before the first inspection. If you intend t obtain financing,consult with lender o attorney before
commencing work or recording r ce of Corrifnencement.
s
_Signature of Owner/Lessee Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.Lucie COUNTY OF st•Lucie
The forg��oip�g Instrument was acknowledged before me The forgoi g instrument was acknowledged before me
this_ ay of ���c�� 20\��y this' ' aay of 20 \�by
Matthew Lyle Wyn4- Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
( ' nature of Notary Public-State of Flo ri ignature of Notary Public-State of FI a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. SU GEE Commis al)
'si'ri''%
MY COMMISSION 1+FF 187647 SUSAN MAOEE
MY COMMISSION/FF 187647
EXPIR
�Rf `'` Bonded Thru Notary PubBe uroom tars ; A°
Revised 07/15/20 fr� Bonded Thru Notary Pubrc Undernriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
PlanningBDevelopmentServices ASBESTOS NOTICE
;Building&Coile,ftegulation Division_
2300 Virginia,Avenue,
'Foif_P,ierce,FL 34982
Oh"one:(772)462-2172:F6x:(772)462-6443
Asbestos Notice to Contractor
April 28, 2015
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1504-0497
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.
��4$11 Signature
00
Date
4/28/2015 12:51:42 PM