HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �)
Date: J Permit Number: I • �� 'T
2 RECEIVE®
ti_ N Building Permit Application
Planning and Development Services SEP 11 -2015
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 IMPROVEMENT LOCATION:
Address: , �� c-� Acso,"-n 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 INFO_ RMATION:_
Additional worctoe Dertormed un ert ispermit—check a11 appy:
HVAC Gas Tank []Gas Piping _Shutters l]Windows/Doors
Electric Q1 Plumbing ❑Sprinklers U Generator O Roof
Total Sq. Ft of Construction: SFt.of First Floor:
�2-
Cost of Construction:$ f: �Q 1 Utilities: _Sewer 0Septic 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 su/erecture
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restricbit suc
structure.Please consult with your Home Owners Association and review your deed for any restrictions which ma
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the
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-residWARNING TO OWNER:Your fa'lur o Record a Notice of Commencement may result in your payinorimprovements to your prope Noticq=of C mencement must be recorded and posted onsitebefore the first inspectiou intendo ain financing, consult with lender or an attorney
commencing work c 1n our No ' e of Commencement.
s
_Signature of Owner/Lessee/Agent Signatur ontra cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF sLLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this CVNay of 20 t�by this ay of by
Matthew Lyle Wynna- Matthew Lyle Wymse
(Name of erson acknowled ' g) (Name of erson acknowledging
liG�1CP/ll� ' e—,
ignature-of Notary Public-St of Florida) Signature of Notary Public-State fJ orida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
4'PI`:V,��� �U, GEE
Commission No. -''' MYCOiNuN 9FF187647MOE Commission No. (Seal)
EXPIRES:February 23,2019
SUSAN MAGEE
.: MY COMMISSION @ FF 187641
Revised 07/15/2014 it has EXPIRES
• :February 23,2019
Banded Thru
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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