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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INFO MU OMPLETED FOR APPLICATION TO BE ACCEPTED 1(2 �_ /'��Date: Permit Number: kl� I Building Permit Application 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED NPROVEMENT LOCATION Address:\1& Port St. Lucie, FL 34952 Legal Description: 3427-111-0002-000/5 Spanish Lakes Riverfront Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILEDDESCRIPTION OF WORK.:, Demolition of Mobile Home CONSTRUCTION"INFORMATION Additional work to be nertormed under this permit–check all appy: ❑HVAC I—J Gas Tank Gas Piping _Shutters ❑Windows/Doors ❑Electric 0 Plumbing ❑Sprinklers ❑Generator F] Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 500.00 Utilities. Sewer Septic Building Height: OWNER/LESSEE., 'CONTRACT-OR: Name Wynne 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. SUPP:LEMENTAL` CONSTR0&1'0N UEN'.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 additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or anatt ey before commencingwork or re rdin our Notice of Commencement. s _Signature of Owner/Lessee/Agent Signature of Contractor/1-Me—ns6Rolder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF St.Lucie The forg�instrument was acknowledged before me The forgping instrument was acknowledged before me this day of 20 Eby this day of_7S_-.� 20 \�— by Matthew Lyle Wynn- Matthew Lyle Wynne (Name of person acknowledging) (Name of person acknowledging) tgnature of Notary Public-State o Ida) ignature of Notary Public-State of o ' 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) AGEE MY COMMISSION#FF 187647 SUR MMArFF EXPIRES-Febrlwy 20,2 49 ©onded Ttrru Notary Public Underwriters 2 !:+r MY COMMISSION k FF 187647 Revised 07/15/201 I> EXPIRES:February 23,2019 I ;y,; ;,� °ended Thru Notary Public Undonvrllerd REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS