HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a' a-� �,A Permit Number: " LJ
Building Permit Application
Planning and Development Services APR 2 9 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line_'L�'E�KD
PR '00"ED IMPROVEMENT LOCATION .
Address: Port St. Lucie, FL 34952
Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront
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
CONSTRUCTIQN INFO_RMIATION:.
itiona wor to e e orme under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers D Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 500.00 Utilities.�Sewer 0 Septic Building Height:
OUVNER/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 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.
SUPPLEMENTA,L=CONSTRU:CTION"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 hich may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,pe form 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:roo additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anoth r non-residential use
WARNING TO OWNER:Your failure to Record Notice of Commencement may result i your paying twice for
improvements to your property. A Notice Commencement must be recor e a d posted on the jobsite
before the first inspection. If you inten o obtajn-financing, consult with I r r an attorney before
commencing work or recording our otice of Commencement.
s
_Signature of Owner/ essee/Agent Sig re of Contractor/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
thUny of ,\ 20 �by this ay of��, ,20 \�o by
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of person acknowledging (Name of p on acknowledgi g
F__
i
ignature of Notary Pub Ic-State rida) tgna ure of Notary Pu lic-State o orida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .vt'"r°Y sum Commission No. (Seal)
j*- -r Y COM MISS ON I+ 187647
EXPIRES:February 23 2019
*• :: MY COMMISSION U FF 187647
Revised 07/15/2014H'• -- EXPIRES:February 23,2019
'1:,F,..0 BondedThruNotar/Public Underynbm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS