HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDLL//
Date: Permit Number: 1 6�`' Q 15-4
A0
ECENE®
Building Permit Application JUL t 0- 2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lu ounty, FL
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: �Z�1�a_�,e.`o�c� p��.. Ck 7, v,\-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:
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile horde
CONSTRUCTION INFORMATION:
Additional work toe pertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ElPlumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ C�C� Utilities:ll Sewer ri 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. 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 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:
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 Associa#i nand review your deed for any restrictions which may pply.
In consideration of the granting of this requested permit, do hereby agree that I will,in all respects,perform the ork
in accordance with the approved plans,the Florida Buil ng Codes and St.Lucie County Amendments.
The following building permit applications are exemp from undergoing a full concurrency review:room additio s,
accessory structures,swimming pools,fences,wall ,signs,screen rooms and accessory uses to another non-r idential use
WARNING TO OWNER:Your failure to R ord a Notice of Commencement may result' our aying twice for
improvements to your pro .A N c&of Commencement must be recorde o ed on the jobsite
before the first inspect' you i end to obtain financing,consult with le a an ttorney before
commencingwork re rdin ur Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of C ctor/License Holder
a
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF st.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi��day of---,"- 20 Eby this " -day of 20 by
Matthew Lyie wYe4' Matthew Lyle wynme
(Name of person acknowledgin (Name of person acknowledging
ignature of Notary Public-Sta Florida) ignature of Notary Pub c-Stat lorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N � S11S11NMAG Commission No. (Seal)
MY COMMISSION 0 FF 187847
Bonded Thru Notary Pubic Underwftn; :*: MY COMMISSION#FF 187647
Revised 07/ EXPIRES:Febn►aty 23,2019
Bonded Thru Notary Pubio Undanrihis
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS