HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date: U/". Permit Number. 00d
� � r Building Permit Application
RECEI ED
Planning and Development Services JUN l3 2096
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 3414-501-1709-00019-Spanish 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: 3
Demolition of mobile horse
COl STR ICTI}N INFORMATION
Add
itiona war c to [ee arme under this permit—check a appy:
E1HVAC (_I Gas Tank Gas Piping Shutters o Windows/Doors
0 Electric 0 Plumbing Sprinklers 06enerator Q Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ �i'��, Utilities:cnSewer Septic Building Height:
OWN ER/LESSEE: CON`I"RACTOR' ..
NameWynne 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:--
Phone Na.�2-878-5513 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
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
l
� J
SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORM►4TION j;
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 use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend io obtain financing;consult with lender,or an attorney before
commencing work or rgcording your Notice of Commencement.
s
_Signature w Lessee/Agent Signature ontract ense Holder
STATE F FL RIDA ST E OF FLO fDA
COUNTY OF aLude COUNTY OF s-Lucie
The forpng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a7 day of FYI i4'� , 20 )t by this 111 7 day of yk, A-11 '20 1(, by
Matthew Lyle Malerew LyleyVynne "
(Name of person acknowledging) (Name of person acknowledging)
1
(Signature of No@yPublic-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identific1E7
Type of ldentificati 0 u d
DOROTHY ANN BASKIN
Commission No. Y ($g®y ate of Florida Commission No. ,.�o�'"�Pbe' DOROTJjy Ay1�1 B]Nolar-yAssn.
Notar P St _ Notary Pu atee My Comm.Expires Oct 2,2016 :•"e My Comm.Expires O#-FF 015226
Commission#FF 0 5 s"� ' �=Bonded Through National Notary Assn. °� ��'��, . Bonded Through National
Revised 07/I5/
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DATE
COMPLETE
INITIALS