HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Uj n
Date: Permit Number. (00 O 1 09,31 '
Building Permit Application JUL t a zuio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(77'2)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMRROVE'MENTTOCATiON
Address: Port St.Lucre 34952
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Legal Description- W of 3414-501-1701-00019-Spanish One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:` Left Side:
DETAILED{ DESCRIPTION"OF UCIORK
Demolition of mobile horde
[cb—NSTRU'CTIONINFORMATION.:, .' ',.,..".,.,., -
Additional
work toe e orme under is permit— e c a appy:
IIHVAC fi Gas Tank [_]Gas-
Piping Shutters Q Windows/Doors
i
L]Electri c Q Plumbing ❑Sprinklers El Generator 13Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Consltruction:$ Utilities:�Sewer Septic Building Height:
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OWNER/LESSEE CONTRACTOR-
NameWynoe Building Corporation Name: Matthew Lyle Wynne
Address:8000 South US 1,Suite 402 Company:Wynne Development Corporation
City: Port St LucieStater Address: 8000 South US 1,Suite 402
Zip Code- 34952 Fax:772-878-0224 City: Port SL Lucie State:I=L
Phone No.7�2-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@vuynnebc.com Phone No.772-878-5513
Fill in fee simple Tide 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.
SUPPLEMENTAL CONSTRUCTIOill:LIEN.LAW IN FORMAT-
DESIGNER®ENGINEER: _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:
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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 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 dditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another on-residential use
WARNING TO OWNER:Your failure to Record a N ce of Commencement may result in y ur paying twice for
improvements to your property.A Notice of mencement must be recorded and osted on the jobsite
before the first inspection. If yo intend o tain financing,consult with 1 der or attorney before
commencing work or record" our Not" of Commencement.
s
_Signature of Oti ner/ ee ent Signa of C or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLude COUNTY OF SLLuae
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The for 'ng instrument was acknowledged before me The forg�o'n�g instrument was acknowledged before me
this, of 20�by this ��TJay of 20 \�by
tVl2lfhew�Lyle MM—Lyle V*—
(Name of person acknowledging) (Name of person acknowledging)
ignature of Notary Public-Stateof da) Sign re of Notary Public=State of F )
Personally,Known x OR Produced Identification Personally Known x OR Produced Identification
Type ofd ntification Produced Type of Identification Produced
Commission No. ,•Av r1k,. SUSA E Commission
MY COMMISSION#FF 187647 ti: 'a$% SUSAN MAGEE
EXPIRES:February 23,2019
*: _ .+: MY COMMISSION01 FF 187647
R • X: a ruary 2J,Eulto
Banded Thru Nal
Revised 07/15/ f '"Public Undanvdtars
iwas
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS