HomeMy WebLinkAboutpermit appl & asbestos notice ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �60 1
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Budding Permit Application
Planning and Development Semces
Building and Code Regulation Division
ZM buginiaAvenue,For#Pieme 834952
Phone:an)462-1553 Fax:1772)4621578 Commercial Residential
PERMIT APPLICATION FOR: To Seled from dropbox, ick arraw at the end of rme
PROPOSED;IMPROVEMENT LOCATIONt
Address:'M � �N.,_ Port St Lade 34952
Legal Description:part of3414-501-1701-00019-S'parish Lakes One
Property Tax ID Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back R7ught Side: Left Side:
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DETAILED DESCRIPTIO# -OF WORK':`
Demalilion of mobile home
.CONSTRUCTION INFORMATION:,,."-,
Additional work to be pertormed under this permit-Efieric
Inhply
®HVAC Gas Tank Gas Piping _Sutters Windows/Doors
(=1€lectric Plumbing Sprinklers ElGenerator t=1 Roof
Total Sq.Ft of Construction: S ]Ft of First Floor.Cost of Construction:$ S( 1ft�Trties: Sewer Septic Bui1d"mg Height:
OWNER/LESSEE: CONTRACTOR:
Namee Building Corporafion Name- Matthew Lyle Wynne
Address--813W Smith US 1,Stine 402 Company:WPM 138velopprtead COPMBUM
may. Port St_LucieeStater Address: 81100 South US 1,Bruits 402
Tip Code:34952 Fay-772-878-0224 :PtutSt (_ucse -
Phone No.772-8713 Trp Code:34952 Fax 772-8784)224
E-Mai1:sU5@MrY1W1ebr-c0M Phone No_772-878-5513
Fill in fee simple Tctie Holder on next page(if ddfenmt E-Mail:sue nebr_com
from the owner listed above) State or County License: C999
If valise of aonstnaction is$25W or more,a RECORDED Native of Commenomte a is required.
1
SUPPLEMENTAL CONSTRUCT 1ON LIEN LAW INFORMATION:
DESI€NEFVENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
CFty: 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 issawnce of a pennit
St Lucie Coinmakes 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 Owhem Assoctation rules,bylaws or and covenants that may restrict or prohibit such
structure_Please consult m th your Home Owners Association and review your deed for any.rest rictions winch 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 reviev r_room additions,
accessary structures,srrirnrriirig pools,fenom walls,signs,screen comms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Renard a Notice of Comrnentement rimy result in your paying tteufce or
improvements to your property. Notice of Commencementmust be recorded and posted on the' site
before the first inspection. ntend'o o in financing,consult tender or an attorney ore
commencingMork car ur Nofigrof Commencement
s
_Siignature of Owners signaivre of wluce
9
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st L-is COUNTY OF st-L-t
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
24 L�- by th" ` y of20 V�, by
N. iyPeSlym�- C�tet�Lyhbly�
(Name of person adkiowledging) (Name of pe acmowled 'n
• moi" // l/
(Si Lure of Notary Public-State da} fSlgriature of Notary Public-State of FI )
Personally Known x OR Produced Identification Personalty Known x OR Produced Identification
Type of Identi icatiQa Produced Type of Identification Produced
Commission No. :e SUSAN Commission too. (Seal)
*, : M coMMISSI n 167x47 j
; .• '� EXPIRES:February 23,2019 E
RF„fx A. SUSAN MA
GEE
+= MY CCMA4ISSION q FF 187647
Rued 01115 A` - EXPIRES:SSION
'% F•o?' N 23,2019
ens
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION �60SEA MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITUiIS
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 1611-0300
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 11:56:33 AM