HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i
Date: . 1 1 . Permit Number.
RECE
Building Permit Application JUL 15 2016
Planning andDevelopment Sem+ices -
l
Building and Code Regulation Division
23W VirginidI Avenue,Fort Pierre FL 34982
Phone:(772,)4621553 Fax:(772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED 1NiPROVEiVIEhIT LOCATION
Address: Port St.Lucie 34952
Legal Description: Part of 3414-501-1701-00019-Spanish Lakes One
I
I
Property Tax ID#: Lot No.
Site Plan Namie: Block No.
Project Name:
Setbacks F font Back: Right Side: Left Side:
DETAILED DESCRIPTlOi� OF WORK
. .
Demolition of mobile horrte
CONSTRUtJTION lI1IFORMAT[ON
Additionalwork to (e performed under this permit—check a appy:
HVAC L_=.1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
-Electric El Plumbing []Sprinklers I]Generator O Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of const ction:$ 3 C Utilities:Sewer FISeptic Building Height:
01NNER/LE�SEE CONTRAU-OR
Name Wynne 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 442
Zip Code:34552 Fax:772-878-0224 C-ay. Port St.Lucie_ State:FL
Phone No.772�878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@Y,6ynnebe.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
ff value of constiuction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION"Lll=N_LAl11L`lNFORMATION:
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: I Name:
Address' Address:
City: +� City:
Zip: ( Phone: Zip: Phone:
ati certify tht no work or installation has commenced prior to the issuance of a permit.
St.Lucie Couni�makes no representation that is granting a permit vn11 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 whichma apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perforin the ork
in accordance with the approved pians,the Florida Building Codes and St_Lucie County Amendments.
The following building permit applications are/obtain
undergoing a full concurrency review:room addition ,
accessory Al uctures,swimming pools,fences, creen rooms and accessory uses to another non-res ential use
WARNING TO OWNER:Your failure to tice of Commencement may result in your pa ng twice for
improvements to your property.A Notencement must be recorded and poste on the jobsite
before the first inspection. If you intenfinancing,consult with lender or an a ney before
commencin work or recur ' aur Nmmencement.
_
s
Signature'of Owne ent Signature an cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this:tS of 20�hy this�`��day of ` a, _,20 jl by
Matthew Lyfe"4—y Maw"..Lye Vytnxle
(Name of person acknowledging. (dame of person acknowledging)
I .51
Signature-of Notary Public-State pWrida} Signature of notary Public-State of F )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commiss'son No. "°e'r'., SUSAN% Commission Na Seal
as
'_ MY COMMISSION t FF 187647 7IM-7 SUSAN MAGEE
EXPIRES:February 23,2019
tiondea I Pru Notaill I'Mir anderr1tem
EXPIRES:February 23,2019
Revised 47/15/ Funded fru Notary Pubic Undoryairi"
REVIEWSI FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
I .COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I