HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: Permit Number:.', 1(0 Owls
Building Permit Application
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
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LO;CATfON
Address: LCL 92� 7:1. Fort Pierce 34,951
1 14
Legal Description: part of 1301-111-0001-000/5-Spanish Lakes Country Club Village
Property Tax ID#: 11 Lot No.
Site Plan Name: i„ Block No.
Project Name: (!
Setbacks Front Back: Right Side: Left Side:
16ETAILEDSCR
DEIPTF WOION ORK
Demolition of mobile home
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CONSTRUCTIQNINFORIVIATION "? {
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Additional work to be nertormedunder t ispermit—check a appy:
HVAC L_J Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric. ❑Plumbing []Sprinklers F_Generator Roof
Total Sq. Ft of Construction: Sq Ft. of First Floor:
c1C� I I ❑ t
Cost of Construction:$ Utilities: u Sewer Septic Building Height:
OWNER/LESSEE CONTRACT'
NameWynrie Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1, Suite 402 Company: Wynne Development,Corporation
City: Port St. Lucie State:F� 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 tip Code: 34952 ! Fax: 772-878-0224
E-Mail:sue@wynnebc.com Phone No. 772-878-5513
Fill iin 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW:INFORMATION y
DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: y 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: Address:
City: City: I
Zip: Phone: Zip: Phone: '!
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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 prohibit such
or
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may pply.
Inconsideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the ork
in ac1 cordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are xempt from undergoing a full concurrency review:room additi ns,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non- sidential use
WARNING TO OWNER:Your failure t Record a Notice of Commencement may result in your aying twice for
improvements to your property. A otice of Commencement must be recor and p' ted on the jobsite
before the first inspection. If you i end to obtain financing, consult with 1 r or a attorney before
commencing work or r in ur Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Cont ctor/License Holder
STAVE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of.` L,y�r,,a 201�by this i� y of a. 20 Nn by
Matthew Lyle Wynn Matthew Lyle Wynne
(Name of per cknowledging) (Name of per ja' acknowledging)
�( ignature of Notary Pub ic-State o . a} S re of Notary Public-State of F a)
Perso,naliy Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. S t 'E — Commission No. (Seal)
. NMI
MY COMMISSION 0 FF 1876137 ��*Ay•. SUSAN MAGEE
Banded Thnr Notary PublJo Undemiters " P =
%,I)MMISSION 0 FF 0041
EXPIRES;February 23,2019
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Revised 07/15 ;qr; ;� Handed ThruNotary PublicUndonvritars
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
i COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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