HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �� Permit Number:;
0 2036
• RECEIV =D APR 1
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
PROPOSEDIMPROVEMENT LOCATION: f..
Address: �� ��c� Fort Pierce 34951
Legal Description: Part of 1301-111-0001-000/5-Spanish Lakes Country Club Village
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK,
Demolition of mobile home
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CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC EjGasTank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers 1:1 Generator F] Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
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Cost of Construction:$ �ZC�r � Utilities: Sewer 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:FL
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.com Phone No. 772-878-5513
Fill lin 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.
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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 TiTLE HOLDER: ^Not Applicable BONDING COMPANY: iNot 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 restri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which m y apply.
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform th work
in acicordance 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 additio s,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-re idential use
WARNING TO OWNER:Your failure Record a Notice of Commencement may result in our p ging twice for
improvements to your property.A otice of Commencement must be recorded a post on the jobsite
before the first inspectio you ' tend to obtain financing, consult with lende r at rney before
commencingwork or r r in our Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of ContractorJLi nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF SLLucie
The for ing instrument was acknowledged before me The forgog instrument was acknowledged before me
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thiday of ��r�—_ 20\�. by this7N,SS day of 20 by
Matthew Lyle Wynn Matthew Lyle Wynne
(Name of n acknowledging (Na7offon acknowledging
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Signature of Notary Public-State rida} Sign'gture of Notary P lic'State € arida}
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. (Sea]} Commission No. (Seal)
COMMISSION @ FF 187647 ?+ = MY COMMISSION 11 FF 187647
Revised 07/I5/20I j '',.= EXPIRES:February 28,2019 '.z%, oQa, EXPIRES:February 2a,2o19
I ••Sg��ti` Bonded Thnt Notary Public Underwriters ' Bonded Thru Notary pubro Underwmors
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE;
COMPLETE
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