HomeMy WebLinkAboutBuilding Permit Application y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED G�
Date: Permit Number: -
RECEIVED
SEP 11 .1015
' - 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 r</
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: �y C—c�\4_- � 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:
FpEtAILEDDESCRIPTICIN OF WORK
Demolition of mobile horse
CONSTRUCTION INFORMATION:
Additional work to be nerforme under tis permit—check all t appy:
aHVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
nElectric ElPlumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
De,- 00
Cost of Construction:$ Utilities. Sewer ElSeptic Building Height:
OWNER/LESSEE: - CONTRACTOR:'
NameVllynne 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 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 wo
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-resident
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice/
improvements to your property.A Noticl7,of Commencement must be recorded and posted on th
before the first inspection. If you intendto obtain financing, consult with lender or an a rney be
commencing work or recordingyqur Notice of Commencement.
s
_Signature of Owner else Signature of Contractorjrbense&eWer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st-Lucie COUNTY OF stLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisof` day ofaas��,, 20�\ by this day of 20 by
Matthew Lyle Wynnd- Matthew Lyle Wynne
(Name of p rson acknowledging) (Name of pe son acknowledgi )
igrt re-of Notary Public-State of F da .,Wlihalure of Notary Pu lic-Stat Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .-(Seall Commission No. (Seal)
susaN Mnr;EE
SUSEXPIRES:February 23,2019 r'f MY COMMISSION AFF 187647
Revised 07/15/2014 «1 ".%'t+'' 8wdedTIwNotaryP.U1' underwrb' i _
' ., 'a,: EXPIRES:February 23,2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS