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HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1/� Date: Permit Number. 1 L(J� ' 013 RECOVED Building Permit Application JUL 15 2015 Planning and Development services Building and Godq Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34992 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 IIUiPR01lEfV1EN�T LOCATION Address: Port St.Lucie 34952 Legal Description: part of 3414501-1701400!9-SpardskAkes One Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Sider Left Side: DETAILED DESCRLPT1ON',OF WORK Demolition of mobile Norge .; CONSTRUCfINiNORMATION ,.: Additional work toe e orme -under is permit—check a appy: ❑HVAC F]Gas Tank aGas Piping _Shutters a Windows/Doors Electric El Plumbing Sprinklers Fj Generator a Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ �CJ� Utilities: Sewer Septic Building Height: OWN ERLESSEE ; CON 'RA�T©R Name Wynne Building Corporation Name: Matthew Lyle Wynne Address:8000 Som 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.T72-878-5513 Zip Code: 34952 Fax: 772-878-0224 E-Mail:sue a@wrynnebc.com Phone No_772-878-5513 Fill in fee simple Title Holder on next page(if different E-Mail: sue c@wynnebc.com from the Owner listed above) State or County License: CGCO35999 R value of construction is$2SW or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL;CQ STRUCTION LIEN LAi>'1l'INFORMATION: DESIGNERf ENGINEER: _Not Applicable 1 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: Zip City: 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 additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anothe non-residential use WARNING TO OWNER:Your failure to Record a otice of Commencement may result in our paying twice for improvements to your property.A Notico of mmencement must be recorded and osted on the jobsite before the first inspection.If you intend- Iain financing,consult m ith lender or n attorney before commencingwork or recordi our No "ce of Commencement. S _Signature of OwderJ ee/Agent Signature o r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sl.u,ae COUNTY OF sL Lude The for oing instrument was acknowledged before me The forging instrument was acknowledged before me this 1�l' ay of ,C 20\s. hy this V�day of 20 by FAaither�Lys 4Vyms MaMew Lyle wymre (Name of p n acknowledging (Name of person acknowledgin ( Ignature of Notary Public-Stat orida} Signature of Notary Public-State rida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission N Commission No. (Seal) twiY'rt SUSAN MAGEE J; = MY COMMISSION#FF 187647 r EXPIRES:February 23,2019 1 MY COMMISSION 0 FF 187647 ,!•..... .tom .Y Revised 07/ Bonded 7hroNolaryPublic Undetwrltere = : EXPIRES;F9i3rlta 23,2019 N p Bended Thru Noaq Public Undow ter, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS