HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE INFO MUST BE COMPLETED FOR APPUCRTION TO BE Accu
Date: 0• `' Ila Permit Number. I
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Building Permit Application NOV 0 1 20
Planning and Development Smdces P E R i�,I-i-ri iI G
Building and Code RegulotionDfirbion St. Lucie County, FL
2300 Va giniaAvenue,fort Pierce FL 34982
Phone:(772)462-1553 Fax:[772)462-1578 Commercial Residential
PERMIT APPt.ICATION FOR, To Select from dropbox, crick arrow at the end of lime
PROPOSED IMPROVEMENT-LOCA nON: ,
Address: d v L Port St:tune 34952
Legal Description:part of 3414-5014701-000f9.-Spardsh 6m One
Property Tax ID##: Lot No.
Site Pian Name: Block No.
Project:Name:
Setbacks Front Back: Right Side: Left Side:
DE :DESCRIPTION"OF WORK;
Demolition of mobile honle
-
CONS rRUCTION''INFORMAIION ,'
Additional wor c to flasTank
orm un es rspermit— e .a appy:❑IiVAC [:]Gas Piping Shutters Mfindowrs/Doors
1_l Electric ElPlumbing Sprinklers LJ Generator O hoof
Total Sq.Ft of Construction: Sq.Ft of First Floor:
Cost of Construrtion:$ Utt"t"ttiesSewter05eptic 8ding Height:
0WNER/L€S5EE_. CON T RACTOR:
Named Building Corporation Name: Matthew Lyle Wynne
Address-800D South US 1,Smite 402 Company:Wynne Dewelapment Cwporatton
may_ Port St.Lucie State:FL Address: 8000 South US 1,Suite 402
Zip Code:3'€952 - Fa7a2-87$-4?224city-t Lucie State:
ft
Phone N0.772 878-5513 Zip Code:34952 Fax 772-878-=4
E-Mail:aw@mqnnebc_com Phone No.772-978-5513
R11 in fee suapleTitle Holder on next gage(if different E-Mail:sue@wynnebr-c om
from the Owner fisted above) State or County License. CGCO35M
R valvae of cons iuc ion is$25W or more,a RECOMED Nvtim of Comumneement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
Gly: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE BOLDER: =Not-Applicable .BONDING COMPANY: Not Applicable
Name: Mame:
Address: Address:
City. City---
Zip:
ity:Zip: Phone: Trp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lude Countymakes no representation that is granting a permit gill authorize the permit holder to build the subject structure
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which is in with any applicable Home Owners mon rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for any.restrictions wEisch may apply.
In consideration of the granting of this requested permit,I do hereby agree that 1 will,in all respects,perfiorm the work
in accordance with the approved plans,the Florida Building Codes and St.Gude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,sudaiming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commenoement 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.I you intend io obtain-financing,consult with tender or an attorney before
-commencing work or ing your Notice of Commencement
s
_Signature of owner{ Signature of CQss#sattor
9
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lude COUNTY OF S+-Lude
The for ing instrument was acknowle ft,f me The forg ing instrument was ackn edged before me
thi;;�Of nc e� 24 -bg �y of r"') 20 by
(Mame of perso edging) (Mame of person admowledgi
f5ignatUTe of Notary Pub)iC-State of A (Signature of Notary Public-State rich)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. s�°t Y`� , SU "r=EXPIRES:
°vSUMAGEE (�
=r: :.. ,OMM SSIO� FF 197647 �mmissio N t FF 1876P )
=T 'a€ EXPIRES:February 23,2019 =� uary 23,2019.%'
Revised 47/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS