HomeMy WebLinkAboutBuilding Permit Application (2) s
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TQ BE ACCEPTED
Date: Permit Number: f 11. J at,1 tot
iRECEIVED
W Rmffl�- �M
Building Permit Application JAN / X096
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
PROPOSED IMPROVEMENT L.00ATiOW i
Address: Port St. Lucie 34952
Legal Description- Part of 3414-501-9709-00019-Spanish Lakes One
Property Tax ID#• lot No.
Site Plan Name: Block No.
i
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED.®ESCRIP 1 lON OF WORK:
Demolition of mobile home
i
-CONSTRUCTION INFORMATION
Additional work toee orme m
under this permit—check a appy:
HVAC Fi Gas Tank []GasPiping OGenerator
Shutters r]Windows/Doors
QElectric F1 Plumbing Sprinklers Q Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$� ' Utilities:cnSewer QSeptic Building Height:
i
.OWNER/LESSEE:` cC1NTRACTC3IZ' 4
Name�ne 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.i=L
Phone No.772 878-5513 Zip Code: 34952 1 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.
SUPPLEMENTALCONSTRUCTION LAW INFORMATION
DESIGIMER/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 Counter 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,l 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 to obtain financing,consult with lender or an attorney before
commencing work or Fftcording your Notice of Commencement.
10,
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_Signatur Ow /Agent Signature o ontragWilcense Holder
0
STATE OF FL RIDA STATE OF FL RIDA
COUNTY OF SLLude COUNTY OF sLLucie
The forgo'ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisoZ7"qday of M 19::!J 20 1 .]b7' this.2-7,rd'ay of rn t" ,20( by
Matthew Lyle wyrU - M.-Mew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notyy Public-State of Florida) (Signature of Nota Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identi i. 'o roe�t�gType of Idenlific�tion {occiu
•SPay P�sTH o DOROTHY ANN BASKIN
. : Notary b State of Florida ,,o �'•,,
* . - Se � Commission No. =_• �? Notary P(� I�State of Florida
Commission No_ = MyCo m. pares Oct 2,2016 ?'• .• My Comm.Expires:Oct 2,:2016
9�6OF Fl°P'� Commission#FF 015226 '9r P.°;� Commission
a lona otaryAssn. '��r����" Bonded Thrcugh`Netional Notary Aasn.
Revised-07/15/2014
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