HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: �- Ito Permit Number. t 7 0�Z 0
�
Building Permit Application JUL i 2016
Planning and Development Searices -
Budding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential V
PERMIT ArPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED iMPROVEMtNTLOCATIQN
Address: `o Los G-o._�z Port St.Lucie 34952
Legal Description: Part of 3414-501-1701-00019-Spanish Lakes One
Property T ID#. Lot No.
Site Plan Name: Block No.
Project Nam i:
Setbacks Front Back: Right Side:° Left Side:
DETAILED,DESCRIPTION.OF WORK '
Demolition of mobile home
CONSTRUCTION INFORMATION
Additional work to be Derformed under this permit-c e c allri apply:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing OSpnnklers ❑Generator ❑Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$�?�� Utilities0SewerE]SepticBuilding Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St.Lucie Stater Address: 8000 South US 1,Suite 402
Zip Code:34952 Fax.772-878-0224 may_ Port St.Lucie State.FL
Phone No.lT72-078"•5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@nrynnebc.cgm Phone No.772-878-0513
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: CGC035999
If value of construction is$2500 or more,a RECORD®Notice of Commencement is required.
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SUPPLEMENTAL CONST"RUCTION LIEN.LAW]NFORMATION:
®ESIGNEVENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: I State: City: State:
Zip: I Phone: Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address:I Address:
City: I City:
Zip: I Phone: Zip: Phone:
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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 ay apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in all respects;perforin a work
in accords'ce 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 additi ns,
accessory structures,swimming pools,fences,walls,signs,s Keen rooms and accessory uses to another non-r idential use
WARNING TO OWNER:Your failure to R:i:o
rd a office of Commencement may result in your p ying twice for
improvements to your property.A Notif mm
must be recorded and post on the jobsite
before the first inspection. If yo intend tain financing,consult with lender r an a rney before
commenran work or recordi our Noe of Commencement.
s
_Signatu of Owne a/Agent Signature of CoctoWcdKe Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Luele COUNTY OF SL Lude
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this of. 20 Eby this #ay of 20ISL
_by
Fisztthew Lys wym- Man—Lyle wy—
(Name of�erson a knowledging) (Name of person acknowledging
Signature of Notary Public-State of Flo ' t a6riio-f Notary Publc-State of a)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commissi )
ti.... SUS E
,: :, MY COMMISSION N FF 187647 MY COMMI SUSAN
IONAt!FF 187647
tAVBonded 7hru Notar/Public Underwriters oe,: a ►nary 23,2019
Revised 07/15 % p t7 '` Rf� Bonded Thru Notary Pubrm Underwriters
REVIEI/IIS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALSI
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