HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
{f �� RECEIVED
Building Permit Application SEP 11 2015
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:-
Address: \"
OCATION:Address:,\ �s-_ S�,o 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 DESCRIP T ION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION
Additional wor k toe e orme under this permit–check a t appy:
HVAC E]Gas Tank [—]Gas Piping _Shutters a Windows/Doors
IJElectric 0 Plumbing Sprinklers FiGenerator D Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost ohonstruction:$ Utilities: _Sewer F-1 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.
SUP.PLEMENTAL:CONSTR,l1CTION..LIEN LAW INFORMATION:
DESIGWER/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-residentia use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying ice for
improvements to your property.A Noticof Commencement must be recorded and posted paying/
a jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorn before
commencing work or recor ' yoor Notice of-Comm ncement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF scwde
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�`'S�`lday of _��c 20 �by thisR_"�Iay of �%by
Matthew Lyle wynni- MaMew Lyle wynne
(Name of per acknowledgin (Name of on acknowledging
igna ure-of Notary Pub ic-State of F Ida) Signature of Notary Publ c-State of P�Ila)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commis 'inn hIn
al)
SUSAN MAGEE ; r.�i'• SUSAN MAGEE
Ml'COMMISSION 9 FF 187647 ' MY COMMISSION#FF 187647
PFebruary EXPIRES:
aePal mmSNotary Pub uede 1tenhS
TNtrypbURevised 07/1 Bonded nmters
REVIEWS rs
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS