HomeMy WebLinkAboutBuilding Permit Application f
ALL APPLICABI.E INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: I Permit Number:
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
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO.POSED.IMPROVEMENT LOCATION:
Address: Fort Pierce 34951
Legal Description: part of 1301-111-0001-000/5-Spanish Lakes Country Club Village
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Property Tax ID#: Lot No.
Site Plan Name: Block No.
Pr1.ect Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK: :
Demolition of mobile home
CONSTRUCTION INFORMATION
Additionalworktobenertormedunder this permit—clecl all appy:
I_HVAC E]GasTank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑_Plumbing OSprinklers Generator Roof
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Total Sq. Ft of Construction: S . Ft.of First Floor:
Cos1.t of Construction:$_�Z� Utilities: _Sewer Septic Building Height:
OWV-N EER/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 StateFL
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
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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°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 TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip' Phone: Zip: Phone:
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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 pro ibit 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-reside ia!use
WARNING TO OWNER:Your failure to Record atice of Commencement may resul in your payi g twice for
improvements to your property.A Notice a ommencement must be record nd posted n the jobsite
before the first inspection. If you intend obtain financing, consult with le or an atto ey before
Commencing work or re ing your_N6tice of Commencement.
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Signature of ne essee/Agent Signature of r License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stwd- COUNTY OF St Lucie
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The far ing instrument was acknowledged before me The forgping instrument was acknowledged before me
this My of �,._cJr�= 2W„,� by this��&day of za, by
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Matthenv tyle Wynn Matthew Lyle Wynne
{Name of person acknowledgin (Name of person acknowledging)
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ignature of Notary Public-State-0 Florida) ignature of Notary Public- a of Florida)
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. :aiYrp, ('V'*
' MAGEE Commission No. (Seas)
a; + MY COMMISSION#FF 187647 � •+.�..
! hir_ EXPIRES:February23,2019 ".'�y • SUSAN MAG
tsOnCeO Thru Notary Public Unden niters i+; +5 COMMISSION#FF 187647
Revised 07/15/2014 IQs EXPIRES:February 23,2019
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Bonded ThruNOW/Public Undam,iters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE J
COMPLETE
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INITIALS
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