HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y 1T`� Permit Number: `roo
® RECEW'_7D APR 122016
-` 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line „l,^
PROPOSED IMPROVEMENT LOCATION:
Address: Z< y' 1�c�s-� Port St. Lucie 34952
Legal Description: part of 3414-501-1701-00019-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
CONSTRUCTION INFORMATION:
Additional work toe oerformed under this permit—check a a appy:
HVAC1:1 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric E]Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ "S�?=C7Utilities: Sewer DSeptic Building Height:
OWN ERAESSEE: 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.
r
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 the su ject 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 Associa ion and review your deed for any restrictions which m y apply.
In consideration of the granting of this requested perm',I do hereby agree that I will,in all respects,perform t work
in accordance with the approved plans,the Florida Bui Ing Codes and St.Lucie County Amendments.
The following building permit applications are exem from undergoing a full concurrency review:room add" ons,
accessory structures,swimming pools,fences,wal ,signs,screen rooms and accessory uses to another no esidential use
WARNING TO OWNER:Your failure to ord a Notice of Commencement may result in yo r paying twice for
improvements to your property.A N icE,of Commencement must be recorded and sted on the jobsite
before the first inspection. If you 1 end to obtain financing,consult with lend or attorney before
commencingwork or r cordin ur Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s-utcle COUNTY OF s-Lucie
The fo S'ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of t 20 by this`day of 20 by
Matthew Lyle WyruJ- Ma chew Lyfe Wynne
(Name of pe n acknowledging)' (Name of p�on acknowledging)
Signa ure-of Notary Public-State of FI a) ,( ture of Notary Pub ic-S ate of r da)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced _ Type of Identification Produced
< es'•,, SUSAN Ml�GE,,E.,'
Commission No. :?' �= 9MMISS10ON7647 Commission No. (Seal)
=a`• a€ EXPIRES:February 23,2019
-.; NnhqPiffilip k' SUSAN MAGEE
Banded ThriiY UUMMISSION#FF 187647
Revised Q7/1512014 `q4 EXPIRES:February 23,2019
RB,S\ Bonded Thru Notary Public Undervrilers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS