HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tt t +-
Date: Permit Number. I �04
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r Building Permit Application
Planning and Development Seo►ices
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: `cc,_w v1st. 2- Port St.Lucie 34952
Legal Description: Pait of 3414-001-1701-000/9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK:: s
Demolition of mobile horse
C_ OflISTRt�CTION INFORMATIOiV
Additional wor c to be performed` under this permit—check a apply:
HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
QElectric 1:1 Plumbing F]Sprinkiers LJ Generator 0—Roof
Total Sq.Ft of Construction: _ S . Ft.of First Floor:
Cost of construction:$ Ce, Utilities:0Sewer Septic Building Height:
OWNER/LESSEE CON TRACTOR j
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port SL Lucie State:FL Address: 8000 South US 1,;Suite 402
Zip Code:34952 Fax:772-878-0224 may: Port St.Lucie State:FL
Phone No.T72-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue a@wymnebc.com Phone No.772-878-0513
FII in fee simple Title Holder on next page(if different E-Mail: sue@wynnebc.com.
from the Owner listed above) State or County License: 6GC035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEI LAW. INFORMATION: i
DESIGNERJENGINEER: _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:
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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 cture
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or proh' it 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.Lurie 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 anothernon-reside 'al use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your pa g twice for
improvements to your property.A Notice of Commencement must be recorded and posted n the jobsite
before the first inspecti . If you intend obtain financing,consult with lender°or n att ney before
commencin work rdin our otice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.Lade COUNTY OF st-�e
The for Zing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thistl y of ,� . 20� by this Anay of"�v`�S� 20 � by
ill Mhew Lyle"Vrdri. ttAauh-Id Lyle VUYF—
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flo ' re of Notary Public-fSiiitie0forida)
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Seal)
SUSAN MAGEE
MY COMMISSION FF 187647 Y
Exiia ruary ; ;+: MY COMMISSION#FF 187647'
Revised 07/15 ? " Bonded il!ru Notary Public Undernriters ;
R a= EXPIRES:February 23,2019
' yf i°`'` Bonded Thor Notary Public,Undenvriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS