HomeMy WebLinkAboutBuilding Permit Application 4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: \rd�1 r� Permit Number.'
RECEIY-D SEP -23 2016
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
.PROPOSED IMPROVEMENT LOCATION: =
Address: LcD Fort Pierce 34951
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Legal Description: part of 1301-111-0001-000/5-Spanish La s Country Club Village
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Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED:DESCRIPTION:QF WORK:
Demolition of mobile home
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CONSTRUCTION INFORMATION
Ad.ditional work toe pertormed un d e t h is p-e--rm-_it_-_c_h e k a I I appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers 0 Generator E] Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
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Cost of Construction:$ �(7c)1 Utilities: _Sewer F]Septic Building Height:
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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-IVlail: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.
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SUPPLEMENTAL-CONSTRUCTION LIEN LAW INFORMATICIN
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: Nage:
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,wails,si s,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Recorcya Notice of Commencement may resuit in you paying twice for
improvements to your property.A Notice Commencement must be recorded and p • ted on the jobsite
before the first inspection. If you intendA obtain financing, consult with lender or attorney before
com mencing work or recordi our Vtice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aLuct COUNTY OF SL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�&�•'day of'� _�,� .„_\j�,_,_2Q\,by this��day ofC, -� ,_\, .20 L� by
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Matthew Lyle Wynn Manhew Lyle Wynne
(Name of person acknowledging) (Name of person acknowledging)
Signature of Notary Public-State ida} _�__J (Signature of Notary Public-State Ida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification Produced
; SUSANMAGEE
Commission No. ,: MYCOMMISS(t' 0Y187647 Commission No. (Seal)
'W-,t&-,f EXPIRES:February 23 2019
Ci.nded Thru Notary Public Underwriters SUSAN SUSAN MAGEE
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EXPIRES:February 23,2019
Revised 07/15/2014 `'`"`" `N
t ft;� Bonded Thnr Notary Pubtic UndaW'ters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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