HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application NOV 0 2t%
Planning and Development Services PERPH'171w�
Building and Code Regulation Division Si. LU60
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
PROPOSED
Address:'r:)_ 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`:INFQRMATION.�
Additional work to be nertormed under this permit—check all apply:
11HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 500.00 UtilitiesIn Sewer[]Septic Building Height:
OWNER/LESSEE 0 CONTRACTOR:
OR:
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.
"SUPPLEMENTAL CONSTRUCTION-UEN LAW 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-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement 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. If ou intend to obtain financing, consult with lender or an attorney before
commencingwork or rec our Notice of Commencement.
s
—Signature of Owner/Lessee/Agent Signature of Con ,actor License Ho
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF-SL Lucie
Thef__o__rg�o�ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisoT `'_day of O � �_ _ 20 Eby thi c ay of 20 by
Matthew Lyle WynnJ- Matthew Lyle Wynne
(Name of person acknowledging_) (Name of person acknowledging)
(Signature of Notary Pub ic-S of Florida) (Signature of Notary Public-State a rida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. .I ?' j�`c= ,� SUSAN MA I1 Com (Seal)
MISSION# 71 7
Z moo? EXPIRES:February 23,2019 ,�# f4g, SUSAN MAGES
x. Bonded Thru Nota Public Undenvrit rs MYCr)m
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Revised 07/15/2014 EXPIRES;February 23,2019
;F Oanded TbN Notary Public Undenrriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS