HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: p•�� Permit Number: l 0q- 5?_�
RECEIVE®
Building Permit Application SEP 16 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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
'PRO,P--OSED IMPROVEMENT LOCATION
Address: \��a�� 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:
DETAILED DESCRIPTION OF WORK
Demolition of Mobile Home
CONSTRUCTION INFORMATION. rf
Additional work to be nertormed under this permit—c ec a appy:
HVAC 0Gas Tank Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers E]Generator 11 Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 500.00 Utilities:)Sewer 0Septic 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 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.
SUPPL'EMENTAL.CONSTRUCTIO.N LEEN LAIN 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-reside ial use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your payi g twice for
improvements to your property.A Notice of Commencement must be recorded and poste n the jobsite
before the first inspection. If you int d to obtain financing, consult with lender an at rney before
commencing work cording r Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 200-by this�`�ay of Se_vkc V- by
Matthew Lyle Wynn- Matthew Lyle Wynne
(Name of person acknowledging-) (Name of person acknowledging)
Signature of Notary Public-Stater
tate orida) (Signature of Notary Public-State o da)
Personally Known x R PradhtceIdentification Personally Known x OR Produced Identification
Type of Identification o �4�?r 0110 A ki k1 A QCC Type of Identification Produced
A MY COMMISSION H FF 187647
t.- EXPIREBMIpary23 2019 Commission Q�'W'a"
Bondad Thru - MAGEE
Commission No. Iva
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_•; �; MY COMMISSION 9 FF 187647
EXPIRES
P,;SX-11' Bonded Thru Notary Public Undenvmers
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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Planning B Development Services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,R. 34982
Phone:(772)462-2172 Fax:(772)462.6443
Asbestos Notice to Contractor
September 16, 2016
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1609-0283
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
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Date
9/16/2016 10:17:24 AM