HomeMy WebLinkAboutpermit appl & asbestos notice ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A
Date: Permit Number: l cO l l
AWE
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,I,MPR
-OVEMENT LOBATION ,
{ S
Address: LS \3 Fort Pierce 34951
Legal Description: part of 1301-111-0001-000/5-Spanish Lakes Country Club Village
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.IN FORMATION
Ad,ditional work to be oerformed under this permit—check all appy:
0HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric L_J Plumbing Sprinklers F Generator FIRoof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ � � Utilities: Sewer ElSeptic Building Height-
J .
r 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-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: Cdt035999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
lEMNTALCOSTRUCN-LIENAWNF0iM10"S3PPLN
_
DESIGNERANGINEER: 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 addition ,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-res' ential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your p ing twice for
improvements to your property.A Notice of Commencement must be recorded and poste on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an a rney before
commencing work or rec your No ' e of Commencement.
s
Signature of Owner/Lessee/Agent Signature o ntra r/ ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF scwe- COUNTY OF stwee
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this� > Y of24L�by this`tS�' qday of 24 l�by
Matt3iew L*Wym,' Manew tyle Wynne
(Name o€=personowledging} (Name of pe on ackhowiedging}
Ignature of Notary Public-State of Fl " ' ) ture of Notary PlklicSta a orida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. "� Commission No. (Seal)
SUSAN MA6fE
=� :r MY COMMISSION#FF 187647 ,�YFp,% SUSANMAAFF o e ruary 23,2019 ? ;"�: MY COMMISSION#FF 187647
i3ondedrnn,itaryPucicuRdan�;ters �:;a EXPIRES:February 23,2019
Revised 07115J20I ..,..„ ::F. ; .
- bonded Thnr Notary Pabife tladorrniters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
Asbestos Notice to Contractor
November 15, 2016
WYNNE DEVELOPMENT CORP
MATTHEW WYNNE
8000 S US 1 STE 402
PORT ST LUCIE, FL 34952
RE: Building Permit Number 1611-0299
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
Signature
Date
11/15/2016 11:56:03 AM