HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: ��•,�J Permit Number: ,�
Building Permit Application RECEIVED
Planning and Development Services
--JUL 2-4-2015
_
Building and Code Regulation Division
2300 Virginia Avenue,Fart 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 tine
PROPOSED IMPROVEMENT LOCATION:
Address: �` L ---.'� ' _ - 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 Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile hortae
CONSTRUCTION INFORMATION:
Additional work to be Derformed under this permit-check all 1hal appy:
HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers El Generator ORoof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ Utilities ll Sewer Q Septic Building Height:
OWNERAESSEE: 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-Mall:sue6wynnebc.com Phone No. 772-878-5513
Fiat 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:
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 1 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 additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your pays g twice for
;T
improvements to your property.A Notice of Commencement must be recorded ,poste"the jobsite
before the first inspection. If you intend io�obtain financing,consult with lender �'an attorney before
commencing workpf rocdrding your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF sl-Lucie COUNTY OF st•Lucie
The forgoieg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this:�`day of�� 20 it by thisi->' `> day of e _�:•.l 20
WWI—Lyle Vyy— Mawww Lyie Wynne
(Name of person-acknowledging) `> (Name of person acknowledging)
,.
(Signature of Notary Public-State of Florid ,(Signature of Notary Public='State of Elohj a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commissi I)
�' ±ss{" SMANMAGff
W COWASSION W FF 187647 =? MY GOMMISSK>rl t FF 187647
BWW TWnu*tvy Pebie llfMerwi EXPIRES!Febi—y EXPIRES:d"FebPdry 23. V9ft
Revised 07/15 '`? eonaeenuu+ yu
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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