HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q, �.� 1 Permit Number: G Q_Q-d 7
RECEIVrED FEB 26 2016
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)462-2578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: \�. ''`\�.c�`c�b ^`. o w � Port St. Lucie 34952
Legal Description: part of 3414-501-1701-000/9-Spanish Lakes One
Property Tax ID#: �� 1 S(� 101 -yso O- Lot No.
Site Plan Name: Block Now
Project Name: ,
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION OF WORK
Demolition of mobile home
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit-check arJappy:
0HVAC — Gas Tank []Gas PipingOGenerator
Shutters F]Windows/Doors
nElectric U Plumbing Sprinklers ❑Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ � UtilitlesnSewer 0 Septic Building Height:
OWNERAESSEE 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:PL Address: 8000 South US 1,Suite 402
Zip Code: 34952 Fax:772-878-0224 Com: Port St.Lucie- State:FL
Phone No 772-878-5593 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@vqnnebc.com Phone No. 772-878-5593
Fill in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com
wynnebc.com
from the Owner listed above) State or County License: CGCO35999
df value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIED 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 HOLDE-R: _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 prohib" 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 e
WARNING TO OWNER:You failure to Record a Notice of Commencement may result in your paying "ce for
improvements to your pro erty.A NoticO of Commencement must be recorded and poste n t jobsite
before the first ins ectio . If you intend to obtain financing,consult with lender or an ney efore
commencing.. or r ordin our Notice of Commencement.
",4z s
_Signature of Owner/Lessee/Agent Signature of Contractor/Livens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLude COUNTY OF s-,ulcie
The forgoing instrument was acknowledged before me The forgqing instrument was acknowledged before me
thisy of20�9j7by this r day of 20 by
Matthew Lyte w ru4' Matthew Lyle Wynne
(Name of pe n acknowledging)- (Name of person acknowledging)
45fkawdre-of Notary Public-State&florlda 415i-g-hature of Notary Public-§tateelorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification P Type of Identification Produced
"'j'.ie , SUSAN MAGEE
Commission No. =.: :t: MY CqMqON#FF 187647 Commission No. (Seal)
a EXPIRES:February 23,2019
Bonded Thru Notary Public Undemriters ;.o�!•°Yg., SUSAN MAGEE
*r .;a MY CUMM1351ON#FF 18 47
Revised 07/15/2014 =' o EXPIRES:February 23,2019
p,'f,e° Bonded Thru Notary Public Underwriters
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