HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
EIINFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-- ,2 •/ Permit Number: T
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RECEIVED
Building Permit Application
Planning an Development Serykes APR 2 2 20th
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
PROPOSED IMPROVEMENT LOCATION:-
Address: :' Port St. Lucie 34952
Legal Description- part of 3414-501-1701-00019-Spanish Lakes One
Property Tai ID#: Lot No.
Site Plan Name: Block No.
Project Name: o-
Setbacks Front Back: Right Side:` Left Side:
DETAILED DESCRIP I ION OF WORK:
Demolition of mobile home °
CONSTRUCTLON INFORMATION:
Additionalwork to be ertormed under this[]permit—c ec c a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
FlEle I is El Plumbing []Sprinklers 0 Generator F]Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Co I struction:$ Z�G�� Utilities:OSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWyllne 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:I952 Fax:772-878-0224 Cid: Part St. LucieState:FL
Phone NoIT72-878-5513 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: CGCO35999
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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 !AW-INFORMATION
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: I Name:
Address: I Address:
City: I 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 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 restriction;add'
ay apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,pe 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:roos,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anothedential use
WARNING TO OWNER:Your failu to Record a Notice of Commencement may result in yng twice for
improvements to your property. Notice of Commencement must be recorded and pnthejobsite
before the first inspection. If u intend to obtain financing,consult with lender or any before
commencm won r recon 'n our Notice of Commencement.
s
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Signature'of ner/Lessee/Agent Signature of Co ctor 'c se Holder
400,
STATE OF FLORIDA STATE OF FLORID
COUNTYIOF SLLude COUNTY OF s-Lucie
The for��+ng instrument was acknowledged before me The for ung instrument was acknowledged before me
this day of�.� , 20�by this�o_ day of �� ,20 by
.M-amew Lyle tlYye MaNhew Lyle Vty—
(Name ofperson acknowledging,] (Name of per acknowledging
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na re of Notary Pub is-State rida) ignature of Notary Public-State of F� a
Personally Known x OR Produced Identification Personally Known x OR Prod Iced Identification
Type of Identification Produced Type of Identification Produced
Commission No. tip'"y''• SUI EE Commi al)
Y COMMI SION tl FF 187647 ti :Pv6=;w:
SAN MAGEE
,••. : EXPIRES:February 23,2019" S:February 23 2019
Revised 07/15/ 14
;gip ° Bonded Thru Notary Public UndervMtem
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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