HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 7 f Permit Number:
RECEIVED
Building Permit Application APR 2 9 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginiavenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP-OSED IMPROVEMENT,rLOCATION
Address: ld�C� �`��L—o.�Ge� \�,c� Fort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
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Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name.
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRI.PTI'ON OF WORK
Demolition lof mobile home
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CONSTRUCT161\1 TN FORMATION':
Additional work to be performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Const l ruction:$ 500.00 Utilities:cnSewer Septic Building Height:
ONER/LESSEE " CONTRACTOR:
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Name Wynne;Building Corporation Name: Matthew Lyle Wynne
Address:8006 South US 1, Suite.402 Company: Wynne Development Corporation
City: Port St.ILucie State:FL Address: 8000 South US 1, Suite 402
Zip Code: 34,952 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 feesimple Title Holder on next page if different E-Mail: sue@wynnebc.com
from the=listed above) State or County License: CGC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTAL.:CONS,,T 7I0N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: Phone: Zip: Phone:
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I certify that nJwork 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,perfor 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 ad tions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another no -residential use
WARNING TO OWNER:Your failure to Re d a Notice of Commencement may result in you paying twice for
improvements to your property.A No ' e of Commencement must be recorded and po ted on the jobsite
before the first inspection. If you i nd to obtain financing, consult with lender or an ttorney before
commencingwork cordin ur Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF!St.Lucie COUNTY OF St.Lucie
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisl��day of d.� zo Eby this Rf d y of .\ ,zo'l, by
Matthew Lyle Wynn Matthew Lyle Wynne
(Name of person acknowledging,)--- (Name of person acknowledgin
gnature of Notary Public-State o ida) lgnature of Notary Public-State of lda)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission N o. SUMAIEE Commission No. (Seal)
MY COMMISSION#FF 187647
4. EXPIRES:Februa 23 2019 .of�°y'••.,
,Rf; 4•• Banded Thor Notary Public Underwriters MY COMMISSION FF 187647
Revised 07/15/210 ;°", Band dlRhru NotaryFebruary
23 lic der 019
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