HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / n �f
Date: Permit Number: / (.l 2 •� � r
RECEIVED
Building Permit Application JUL 15 2016
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Port St. Lucie 34952
Legal Description: part of 3414-501-1701-00019-Spanish.Lakes One
Property Tax ID#: Lot No.
Site Plan Name: - Block No.
Project Name: 4-
Setbacks Front Back: Right Side:" Left Side:
DETAILED DESCRIPTION OF WORK:
Demolition of mobile horse
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—c ec c a appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric F�Plumbing Sprinklers D Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5C3 CD Utilities.. Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWymne 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 402
Zip Code: 34952 Fax:772-878-0224 City: Port St.-Lucie- State:FL
Phone No.772-878-5513 Zip Code: 34952 Fax: 772-878-0224
E-Mail:sue@wynnebc.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: CGC035999
If value of construction is$2500 or more,a RECORDED Notice of.Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 add' ions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another no residential use
WARNING TO OWNER:Your failure to Record a N ce of Commencement may result in you paying twice for
improvements to your property.A NoticiL-of C mencement must be recorded and po ed on the jobsite
before the first inspection. If you intend to ain financing,consult with lender or an ttorney before
commencingwork or recordin ur Not' of Commencement.
s
—Signature of Ow r/Le a/Agent Signatureof t or/ cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s.Lucie COUNTY OF sL Lucie
The forgoing instrument was acknowledged before me The forgping instrument was acknowledged before me
this day of 2d)L by this�hN
Matthew Lyle WynrJ- Matthew Lyte Wynne
(Name of perso acknowledging (Name of person acknowledgin
(Signature of Notary Public-State rida) (Signature of Notary Public-Stat orida)
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)
i+
SLNIAGEE
•., MY COMMISSION#FF 187647
=SUSAN MA FF
Bonded Thor Notary Public Underwriters11 ;-: sa': MY CO!EFebr
ION N FF 187647
Revised 07/15/2 -` a EXPIR ,ary 2a 2019
`% ` Banded Try Publ�Undenmters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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