HomeMy WebLinkAboutBuilding Permit Application ALL APPLI
CABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 a3\ `� PermitNumber.
RECEI'.'-D SEP 2 3 2016
Building Permit Application
Planning and Development SeWces
Building and We Regulation Division
23W Wginld Avenue,Fort Pierce FL 34-W
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERllilrF APPLICATION FOR: To Select from dropbox, dick arrow at the end of rine
PROPOSED.-IMPROVEMENT..LOCATION
Address. Port St.Lurie 34952
Legal Description:Dart of 3414-5014701-00019-Spanish Lakes the
Property Tax 3D#: Lot No-
Site Plan Name: Block No.
Pro)ectc Name: =
Setbacks Front Back Right Sider Left Side:
DETAILED D.ESCRiP 110N OF WORK: .: . ,
Demkmrfion of mobffe home `
CONSTRQCT1oN 14''ORWIATI N
A itiona uror k to e e orme lin er is permit— e k a appy:
®HVAC F]Gas Tante [:]Gas PipingoGeneratDr
Shutters E]Windows/Doors
QElectric F1 Plumbssig FISprinklers LJ Roof
Total Sq_Ft of Construction: SQ.Ft.of First Floor:
Cost Of construction:$ C5(> Utilities:nSewerElSeptic Building Height:
OWNERAESSEE
CO�ITRCT[3R;
NameWYMe Buffding Corporation Name: Matthew Lyle Wynne
Address 80M South LDS 1,Suite 402 Company=74mm Devek�nt Cion
may. Port SL Lucie Stater Address: 8000 South US 1,Suite 402
Zip Code:34952 Fay-7724US43224 cftT bort SL L - State:
IF-
Phone No.772-878-5513 Tip Code:34952 Fac 712-8784Y224
E-Mati:si @WYflnebc-com Phone No.772-978-5513
Fill in flee simple7itle Holter on next page(ft different E-Mail:wenebc.corn
from the Owner fisted above) State or County License: CGCO35M
if value of construction is$25W or more,a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUC T IUIV LIEN LAW INFORMATION:
DESIGAIEIRIENGINEEIt _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:
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 perm t 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 prohib" such
strucdrre:Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Cortes and St.Lurie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessorystructures.swiumuning pooL�fenceZ-, obtain
,screen rooms and accessory uses to another non-residen � use
WARNING TO OWNER:Your failure tootice of Cam e�ment may resuk m your paying 'ce for
improvements to your property_A Nmeneemertt-must be recorded and po ed on a jobsite
before the first inspection.If y intefinancing,consult with lender or a urn before
-commencing work or remco ourommencement.
s
_Sigmature of Owner/tnejAgent Signature ofaft%act9wareme Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL ewe COUNTY OF sL Lucie-
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this }/ 20 Eby tiris���s day of - 20 \� by
rr tvy
Mm_L3ftriy1—
(Name of p acimowiedging) (Name of person acknowledging)
(Signature of Notary public-Stateof day (Signature of Notary Public-S arida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Ideni iiicaiden Produced Type of Identification Produced
Commission No. SUSAQE Conamissi
'fr
MY COMMISSION k FF 187647 '^se• SUSAN MAGEE
EXPIRES:February 23,2019 :.; MY COMMISSION#FF 187647
Hunde,ifinalloMyPublIG nod
e ruaryc 23, i
Bonded Thru Notary PubliUndervvrilers
Revised 07/t5/?A14
REVIEWS FROM" ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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