HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date:_ 7 �• �`1� Permit Number: J:nf. Q 7
f r
RECEIVEDBuilding Permit Application
Planning and Development Services SEP 111015
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 l•MPROVEMENT LOCATION:
Address: !z y V�l\.e� -�c ���� �o.'rte 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 horne
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters O Windows/Doors
Electric O Plumbing OSprinklers Generator O Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost ofConstruction:$ Utilities: Sewer 0Septic Building Height:
OWNER/LE$$E€: '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.
SU PPLEM NTALG®NSTftl1CTl®N LiEr11LAW 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 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-residenti I use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying ice for
improvements to your property.A Notictof Commencement must be recorded and posted on he jobsite
before the first inspection. If you intend to obtain financing, consult with lender r an attorn before
commencing work or recor in r Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
A
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me
thisO"�—day of 20 �'—by this, y —day of by
Matthew Lyle wynnE- Matthew Lyle wymie
(Name of person acknowledging) (Name of person acknowledgi g
_(Si nature-of Notary Public-State of)I da) Signature of Notary Public-Statpolorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of IdentificaE-4
Type of Identification Produced
SUSANMAGEE
Commission No.-_ ' MYCOMMISSI 187647 Commission No.--- (Seal)
IRFebruary 2019
` Bonded Thru Notary PuWic Underwriters ••"i6 SUSAN MAGEE
EXPIRES:Febmoy?3,2019
Revised 07/15/2014 95 !!BondedThru Notary PWti Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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