HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INK?MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D.W. t L ` , ,b t LD Permit Number: -6S1
11- 00.2-1-e
VN
VED
Builsfin g Permit Application NOV
Planning and Development'Ser_vices P E R id71Tf I Eq G
Building and Code Regulation Division St. Lucie County, FL
2M I fthilaAvenue,Fort Pierce FL 349V
Phone:(772)462-1553 Fax:(772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of lime
PROPOSED:IMPROVE ENT LOCATION:
Address: c` -�c� '1 Port SL Lucie 34952
Legal Descriptiorr pad of 34145014701-00019.-Spanish One
PropertyTax ID#.- Lot No.
SitePlan Name: Block No.
Project Name: }
Setbacks Front Back Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
Demofifion of mobile home
CONSTRUCTION-INF ORMA 1ON.
Additional work toa nerformed under this permit–check all apply:
EHVAC 0 Gas Tank r Gas PipingShutters Windows/Doors
0—Sectric F-1oGenerator
Plumbing 0Sprinklers 0 Roof:
Total Sq.Ft of Construction: Ft of First Floor:
Cost of Construction:$ q� m .UZS UnTaiesSewer Septic &n"ld"mg Height_
OWNERJLESSEE: CONTRACTOR:
NameWYnne EkMdtng Corporation Name: Matthew Lyle Wynne
Address.8GW South US 1,Suite 402 Company:V*m Development Corporation
may_ Port S.Lune Stater Address: 5000 South US 1,Solite 402 .
Zip Code:34M T_72-8784}224 city_Ped St Lucie - Stsmt:L
Phone No.772-878 5513 Zip Code:349552 Fax 772-8784)224
E-Mait:sw@wynnebo-com Phone No.7"72-878-5513 =
Fill in fee shnple Tide!Molder on next page(iH different E-Mari:sueQvaynnebc c
from the Owner listed above) State or County License: CGG035M
if value of corn&ucthm is$2560 or mare;a RECORDED Plante of Commencmierit is required.
J
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNIEIRJENGINEER: _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: Tip: Phone:
I certify that no work or installation has commented prior to the issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the permitholderto build the subject structure
which is in conflict wins any applicable Home Owners Association ruts,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any,restridmns which may apply.
In consideration of the granting of this requested permit,I do hereby agree that twill,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,
accessary structures,srz riming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Recall a Notice of Comrrcencement may result in your saying twice for
improvements to your property_A Notices of Commiencementwwst be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before
commencing work or rding your Notice of Commencement
s
Si re of Owner/ Scgrsature of Cants=wjLicense
4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.Lute COUNTY OF sr.r,xie
The for rng instrument was acknowledged before me The fo ng instrument was acknowledged before me
tfis iS L Y►a r,✓tfh—Lyle Wy-nzce
(Name of person acknowledging) (Name of person acknowledging)
gnature of Notary Public-Sts orida j re of Notary Public-S Florida j
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Mdentiiicatm Produced Type of Identiffication Produced
Commission id
SAN MACommission No. (Seal)
G '
MY COMMISSION t FF 187647 s
��:eye% EEI
SUSAN MAGEE
Bonded T UOMMIM
Thru Notary Public Undennfters '
Revised 0!/ t,. ES:.February 23,2019
;pp r�' hru Notary Public Underwriters j
' w
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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