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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lam. 1�. �J Permit Number: /ZY C2 V© VE D - Building Permit Application Planning and Development Services DEC 15 2015 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Public Worv—, St. �u ie C,0Un1y, ,FL 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: p �u_-sc�PortSt.Lucie 34952 Legal Description: part of 3414-501-1701-00019-Spanish Lakes One Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: s- Setbacks Front Back: Right Side:- Left Side: DETAILED DESCRIPTION OF11fi/ORK: Demolition of mobile home CONSTRUCTIQ_N INFORMATION: Additional work toe e orme under this permit-check a appy: OHVAC Fi Gas Tank . 0 Gas Piping _Shutters Q Windows/Doors Electric Plumbing Sprinklers a Generator Roof Total Sq.Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ —��� Utilities Sewer ElSeptic Building Height: OWNER/LESSEE; CT CON Name\Afynne Building Corporation Name: Matthew Lyle Wynne Address•8000 South US 1, Suite 402 Company: Wynne Development Corporation LLinn t St. Lucie State:F� Address: 8000 South US 1, Suite 402 : 34952 Fax:772-878-0224 City: Port St. Lucie State:FL .772-878-5513 Zip Code: 34952 Fax: 772-878-0224 ue@wynnebc.com Phone No. 772-878-5513 simple Title Holder on next page(if different E-Mail: sue@wynnebc.com Owner listed above) State or County License: CGC035999 construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION1JEN,LA' INFORMATION* ®ESBGblIE;R/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. Inconsideration of the granting of this requested permit,I do hereby agree that 1 will,in all respects,perfor 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 ad itions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another no -residential use WARNING TO OWNER:Your failure to Recor a Notice of commencement may result in yo r paying twice for improvements to your property.A Noti.c�= f Commencement must be recorded and p sted on the jobsite before the first inspection. If yo inter o obtain financing, consult with lend or a attorney before commencing work or recordipaourXotice of Commencement. s _Signature of Own Les Agent Signature of ontr r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF—SL Lude COUNTY OF st.Lude The forgo itn`g instrument was acknowledgedore me The forgoing instrument was acknowledged before me this \0"-day ofd �c� . 20 k by this-'`ay of�ac,N- -� 20 S by Matthew Lyleyyr n Matthew Lyle Wynne (Name of perso knowledging) (Name of person acknowledging) ( gnature-of Notary Public-State of FI ) ,(Signature of Notary Public-State of Flori Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. - (Seal) Commission No. -- (Seal) ,`4a+.pYqq SUSAN MAGEE ry 11, MT%d%J1V11V14.,...�rSUSAN mm Revised 07/15/2014 ' ` EXPIRES;February 23,2019 MY COMMISSION#FF 187647 ''�;RyQt` Bonded Thru Notary Public Undermilera J 'r EXPIRES:February 23,2019 lir ` Bonded Thru Notary Pubric Undemm re REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS