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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 40 BE ACCEPTED Date: , ��� Permit Number: kl�bb�" Q%db RECEI%' -:D APR 01 2016 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,fort Fierce FL 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 D RMC) PROPOSED IMPROVEMENT LOCATION: Address: � . 1�� Port St. Lucie 34952 Legal Description: Part of 3414509-9701-00019-SpAh Lakes One Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Sider Left Side: DETAILED DESCRIPTION OF WORK: Demolition of mobile home CONSTRUCTION INFORMATION: Additional wor c to (eDej orme under this permit—c ec c a a appy: 11HVAC L__1 Gas Tank ❑Gas PipingOGenerator Shutters Windows/Doors DElectric �Plumbing Sprinklers Q Roof Total Sq.Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ ` © Utilities:nn Sewer I�.l Septic Building Height: OWNERAESSEE: CONTRACTOR: NameWynne 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 City: Port 5t.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. M SUPPLEMENTALCONSTRUCTION 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 structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict 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 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:Your failure to Reco a Notice of Commencement may result in your paying lice for improvements to your property.A Notice Commencement must be recorded and posted on t e jobsite before the first inspection. If u intend o obtain financing,consult with fender or an rney afore commencingwork or rec our tice of Commencement. s _Signature of Owner/Lessee/Agent Signature of ctor/ ' en der STATE OF FLORIDA Q STATE OF FLORIDA COUNTY OF sttu@e COUNTY OF sLujde The for oing instrument was acknowledged before me The for " g instrument was acknowledged before me this—:S\--_T-day of ���g�c�. 20\�by thisl Sa day of c�.�c� ,20 by Maitnew Lyle V"19- Matthew tyre Wyrme (Name of per n acknowledging (Name of arson acknowledg' ignature of Notary Public-State orida) fgnature of Notary Public-Stalorida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Commission ISeall y�+'>j' SUSAN MAGEE �'"'"Yep; SUSAN MAGEE s"911 R-�: i y +? MY COMMISSION ;qs.. EXPIRES:February 23,2019 BEdetlIR NSNa arbjPublryU denm'ters ReV1SeC1 %�I5 (/ ;'; g�~ Bonded Thru Notary Public Underwriters .�...,. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS