HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit!Number.
REC."..
Building Permit Applicat!on JUL 15 N
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
PERMtfi-APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO.POSED41VIPROVEMENT LOCATiOiV
Address: ort St.Lucie 34952
Legal Description: Pad of 3414-501-1701-00019-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Sider Left Side:
DETAILED DESRIPTIOIi! OF WORK
Demolition of mobile horse
CON$TRflCTION INFORMATION
Additional work toe e orme under this permit—check a appy:
HVAC 13 Gas Tank []Gas Piping _Shutters O Windows/Doors
Electric 0 Plumbing Sprinklers El Generator 0 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
c�
Cost of Construction:$ `Z� Utilities USewer n Septic Building 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 SL Lucie State: Address: 8000 South US 1,Suite 402
Zip Code- 34952 - Fax-772-878-0224 may_ Port SL Lucie State:FL
Phone No.772-878-5513 Zip Code: 34952 Fax:772-878-0224
E-Mail:sue@u+ynnebc-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 construction is$25W or more,a RECORDED Notice of Commencement is required.
SUPPLI=MENTAL:CONSTRUCTION-,LIEN.LAW NFORMA7(ON'
DESIGNERJENGINEER: _Not Applicable I 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:
Citv: city:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counter 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,perforin the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt fro undergoing a full concurrency review:room a didons,
accessory structures,swimming pools,fences,walls,signs screen rooms and accessory uses to another no -residential use
WARNING TO OWNER:Your failure to Recor?aotice of Commencement may result in your eyingtwicefor
improvements to your property.A Notice omencement must be recorded and post donthejobsite
before the first inspectionalfintend on financing,consult with lender or an a orney before
commencingwork or recor No ' of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of o or/ cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF SLtude COUNTYOF stow
The for ' instrument was acknowledged before me The,forgoing instrument was acknowledged before me
this\��of 20�hY this\- Ztay of 20 by
Maturer,we VVrm' Mata e i Lyle wy—
(Name of perso cknowledging) (Name of person acknowledging)
ignature of Notary Public-State of Flori tgna ure of Notary Public- tate of FI '
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. J
SU I GEE Commission No. Seal)
MY COMMISSION H FF 187t 1wr�y''•, SUSAN MAGEE
,;a
GehWissiGNOF
Bonded Thru Notary Publlo Undonudtera ao EXPIRES:February 23,2019
Revised 07/15/2 '�•
Bonded Thni Notary Public underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS