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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn1111
Date: Permit Number I I lU l) C®d
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division 1
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the lend of line
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4bPb$,ED IMPROVEMENT,-10 16N
Address: o��,�n L�.�C Q \��` Fort Pierce, FL 34951
Legal Description: 1306-111-0001-000/0 Spanish Lakes Fairways
Property Tax ID#: Lot No.
Site-Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK .
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Demolition of mobile home
CONSTRUCTION INFORMATION
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Additional work toe e orme under t is permit—check a appy:
OHVAC El Gas Tank []Gas Piping _Shutters ;;OWindows/Doors
1-1 Electric O Plumbing Sprinklers Generator ❑.Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: Sewer O Septic' Building Height:
01NNE,R/LESSEE CONTRACTOrR
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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
Fell 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.1
SU'PPLEMENI"AL CONSTRUCTION LIEN 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 1 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 se
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying ice for
improvements to your property.A No ' e of Commencement must be recordedand posted on t e jobsite
before the first inspecti n. I o=ur
nd to obtain financing,consult with lender;or an a orney efore
commencingwork e mNoticeof Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contrzef&TLi9dnse V&der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lurie COUNTY OF SL Lurie i
The forgoing instrument was acknowledged before me The forgoing instrument was'acknowledged before me
this W y of �C�IQ�� s•� , 20\�by this\ y of _20 `- by
Matthew Lyle WW-4- Matthew Lyle Wynne
(Name of person acknowledging) (Name of per acknowledging,)
gnat a of Notary Public-State rida) (Signature of Notary Public-State o rida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identi f Type of Identification Produced
RUEE
� a MY COMMISSION#FF��B7
*: ry FF
Commission ��'•. ��= `� •Februa Commission No. e
,.F. °` Bonded Thru Notary Nblic Url'r ricers rq��"v:1q.
SUSAN MAGEE
MY COMM S
EE 187647
• o`' EXPIRES:February 23,2019
Revised 07/15/2014 a Bonded Thru Notary public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ;' REVIEW REVIEW
DATE
COMPLETE
INITIALS
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