HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� ((��
Date: Permit Number. 00 " 033
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F ' x Building Permit Application
Planning and Development Semices JUL 2016
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
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PROPOSED IMPROVE11llENT,LOCATION;
Address: c��o��.p CJ � Port St.Lucie 34952
Legal Description: P.-d of 3414-501-1701-000/9-Spanish Lakes One
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION-OF-WORK: 771
Demolition of mobile horse A
CONSTRUCHON INFORMATION
Additional work toe nertormed under this permit—check a appy:
❑HVAC Gas Tank Gas Piping _Shutters ❑,Windows/Doors
aElectric Q Plumbing Sprinklers IJ Generator a Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 757D0o0 ZD� Utilities: Sewer Septic Building Height:
OtRfNER(LESSE.E CON TRACTOR.
NameWynne Building Corporation Name: Matthew Lyle Wynne
Address:8000 South 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 City: Port St:Lucie Stater
Phone No.772--878-5513 Zip Code: 34952 Fax-772-878-0224
E-Mail:sunebc-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: CGG035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTION'LIEN,LAW;1NFOR(VATIO
DES+IGh9ERJENGINEER: 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:
ity:Zip: Phone: Zip: Phone:
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1 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 whtic may apply.
In consideration of the granting of this requested pe it,l do hereby agree that 1 will,in all respects,perform a work
in accordance with the approved plans,the Florida wilding Codes and St.Lucie County Amendments_
The following building permit applications are exe pt from undergoing a full concurrency review:room add" ions,
accessory structures,swimming pools,fences,w Is,signs,screen rooms and accessory uses to another no residential use.
WARNING TO OWNER:Your failure to rd a Notice of Commencement may result in your aging twice for
improvements to your property.A No ce of Commencement must be recorded and po ed on the jobsite
before the first inspection-If you in to
to obtain financing,consult with len or an ttorney before
commencin worts or r in r Notice of Commencement.
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_Signature of Own essee/Agent Signature of C ct License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL alae COUNTY OF sL Lude
The foomg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this\�''�Zlay of I20'� by this\may of 20 by
PAatt wwewym= fLtalBteviL7MwY e
(Name of person acknowledging) (Name of person acknowledging)
ASE-nature of Notary Public-Stateof F! ( rgnature of Notary Publ' State o F a)
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)
SUSAN
MY COMMISSION N FF 187647 .,�qS'Y er.•., SUSAN MAGEE
Feb,aa.yU.-
-41 Bonded Thru Nota Public Undorwdters + *`
MY COMMISSION V FF 187641
Revised 07/15
Notary =�,.• EXPIRES;February 23,2019
Rf '' Bonded Thru Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS