HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ii dry
Date: Permit Number. 1 6 ocp "oo V
rR E C E w ;V M
' ". Building Permit Application JUN /3 2016
Planning and DevelopmentSeryices - -
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: - � yic�;c�. �ec��— Port St. Lucie 34952
Legal Description: Part of 3494509-1709-00019-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: `
Demolition of mobile horrze
,.
CONSTRUCTION INFORMATION:
itiona work to e nej orme un er t is permit—c_--heck a app y:
]HVAC L__7 Gas Tank ❑Gas PipingOGenerator
Shutters F]Windows/Doors
U Electric r_1 Plumbing'
Sprinklers Q Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost
Cost of Construction:$ � Utilities:0 Sewer!�.1 Septic Building Height:
01 NIHR/LESSEE; CONTRACTCDR;
NameWynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company: Wynne Development Corporation
City: Port St. Lucie State: 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 r
Fill in fee simple Title Holder on next page(if different E-Mail: sueCaa 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.
i'
SUPPLEMENTAL CONSTRUCTION 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 HOLDEA: _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 to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of OwnerlLIjWnt Sign atp a of Cont orJLicertse Holder
o �
STATE OF FLORIDA STATE OF LORIDA
COUNTY OF sLulde COUNTY OF s-Lucie
The forgoog instrument was acknowledged before me The forgoing instrument was acknowledged before me
this d-'7day of _Y1 6:�J , 20 f_( by this o"I!7 day of jM AV, ,20 J G by
Matthew Lyte Wym4 Matthew Lyle Wyrme
(Name of person acknowledging) (Name of person acknowledging)
IBJ .
(Signature of NolojvPublic-State of Florida) (Signature of No&Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identifica , `o Type of Identification ,oa �„e-,,
'%Wy nye., ,•-,Wp6g, DOROTHY ANN BASKIN
i o, Notary Public.; ate of Florida Commission No. 3 r: - Notary p�6�al]itate of Florida
Commission No. _ = Comm. xpue Oct 2,2016 `.N .•; My Comm.Expires Oct 2,2016
Commission FF 015226 'Fo �.�°;° Commission#FF fli 4226
roug a Iona o ary Assn.. onded Through National Notary Assn.
Revised 07/15/2 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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