HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLENFJ MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: QJPermit Number: t -S7Id+—�t�-�
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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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATIOW
Address: 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:
DEi"AILED DESCIilPTIOiV ®F Vi%ORK.;': -
, . -
Demolition of mobile horse 00
CONSTRUCTION iIFORIVIATION
Additional work to be ertormed under this permit—c ec all[ appy:
HVAC Gas Tank []Gas PipingOGenerator
Shutters E]Windows/Doors
Electric Plumbing Sprinklers Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ Z� Utilities: _Sewer 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.
SUPPLEMENTALCONSTRUCTION.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 Counter makes no representation that is granting a permit will authorize the permit holder to build the s jest structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which m y apply.
In consideration of the granting of this requested permit,l do hereby agree that 1 will,in all respects,perform th 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 addit- ns,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non esidential use
WARNING TO OWNER:Your failure o Record a Notice of Commencement may result in you paying twice for
improvements to your property. Notictof Commencement must be recorded and p ed on the jobsite
before the first i s on. If yo intendo obtain financing,consult with len or a attorney before
commencin o ecordi our Notice of Commencement.
s
_Signature of O er/Lessee/Agent Signature of Co ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.wde COUNTY OF stLude
The forg9ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20'SIN�by thi ay of�NQ�ae_ft .a^_ ,20 kSC-by
Matthew Lyle wynrt& Matthew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
lgnature-of Notary Public-State of da) ignature of Notary Public-State of FI t )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission-No. I! g AME --Commission No. (Seal)
�r
:Y MY COMMISSION#FF 187647 �
• 'c` EXPIRES:February23 2019: SUSAN
Bonded Thor Notary Public Underwriters ;+? COMMISSION#FF 187647
'" `° EXPIRES:FebNary 23,p019
Revised 07/15/20 y R; •'' Bonded Thru Nolary Public UiMenv- ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW
DATE
COMPLETE
INITIALS