HomeMy WebLinkAboutBuilding Permit Application ALL APPLI LE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: " O
Building Permit Application
Planning and Development Seryices
Building and Code Regulation Division
2300 Virginia Avenue,Fort PierceFL 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: � F--� Port St.Lucie 34952
Legal Description: Part of 3414-501-1701-00019-Spanish Lakes One
Property Tax ID#: 36: ( d iy-p ! Lot No.
Site Plan Name: Block No.
Project Name: c'
Setbacks Front Back: Right Side:• Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—c ec z a appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ CXR Utilities: _Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name-Wynne 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:FI-
Phone
1Phone N0.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E=Mafl:sue@vvynnebc.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 subject str cture
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or proh bit 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-residential u e
WARNING TO OWNER:Your failure to-Record a•Noticezf Commencement may result in your paying twic for
improvements to your property.A Notice=of mmencement must be recorded and posted on the' bsite
before the first inspection. If you intend btain financing,consult with lender or an a ney be re
commencingwork or r rdin our ice of Commencement.
s
—Signature ofssee/Agent Signatur Contractor ns H r s
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF s-wcie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiso�0'' y of'CcA�.._ � . 20 (�by this ay of=�o` 20 V,- by
Matthew Lyle wynr4- Matthew Lyle Wyrme
(Name of p on acknowledging (Name of rson acknowledging j
"(Sig—hafure of Notary Pubic-State rida} ( t ature of Notary Public-State orida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
$;•�•
SUSAN MAGEE ,�+ ,.
,.�q.... SUSAN MAGEE
MY COMMISSION FF 187647 :•; ::: MY COMMISSION FF 187647
a : e ruary =;,; :• e 23
�,. fd"�' Notary ary 2018
Revised 07/1 Bonded Thru Notary Pubs Underwriters owl Bonded Thru Nota Public Undervafters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE%ATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS