HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) `Q
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 J
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: 1-\0 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 Side:' Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile home 4
CONSTRUCTION INFORMATION:
Acid itional work to be performedunder this permit—check all appy:
HVAC L_!Gas Tank ❑Gas Piping O
Shutters a Windows/DoorsElectric FlPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ S( Utilities: Sewer nSeptic 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: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.
Planning&Development Services ASBESTOS NOTICE TO OWNEWBUILDER
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phonc(772)482-2172 Fax:(772)462-6443
January 22, 2016
RE: Building Permit Number
Disclosure Statement: State law requires asbestos abatement to be done by licensed contractors. You have applied for
a permit under an exemption to that law. The exemption allows you as the owner of your property to act as you own
asbestos abatement contractor even though you do no have a license. You must supervise the construction yourself.
You may move, remove, or dispose of asbestos containing materials on a residential building where you occupy the
building and the building is not for sale or lease or the building is a farm outbuilding on your property. If you sell or lease
such building within one year after the asbestos abatement is complete the law will presume that you intended to sell or
lease the property at the time the work was done which is a violation of this exemption. You may not hire an unlicensed
person as your contractor. Your work must be done according to all local state and federal laws and regulations which
apply to asbestos abatement projects. It is your responsibility to notify the Department of Environmental Protection of
your intention to remove asbestos. It is your responsibility to make sure that the people employed by you have licenses
required by state law and by county or municipal licensing ordinances.
Owner Signature &Date
1/22/2016 11:01:47 AM
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 th subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may re ict-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 1 will,in all respects,perform he work
in accordance with the approved plans,the Florida Building Coles and St.Lucie County Amendments.
The following building permit applications are exempt from ndergoing a full concurrency review:room ad tions,
accessory structures,swimming pools,fences,walls,sign screen rooms and accessory uses to another no -residential use
WARNING TO OWNER:Your ilure to Record Notice of Commencement may res t in yo paying twice for
improvements to your pro .A Notict,o Commencement must be record d p sted on the jobsite
before the first inspect io .-I you intend' obtain financing,consult with le r r a no
before
commencingwork or r o in our ice of Commencement.
s
_Signatu Own r/Less Agent Signature of Co actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st-Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IL�`laay of20 Eby this Dd ay ofd 20 \�,,.by
Matthew Lyle Wymhh- Matthew Lyle Wynne
(Name of person acknowledging (Name of person acknowledgin
ignature-of Notary Public-Starida) Signature of Notary Public-Sta&Florida)
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)
SUSAN MAGEEAl IQA
,,ti kid
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MY COMMISSION B FF 187647
:�•. oa EXPIRES:February 23,2019s EXPIRES:February 23,2019
Revised 01/15/20 - R;n ' Bonded Thru Nota Public Underwriters ...
Bonded Thru Notary Pubrrc Undervnitars
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS