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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: Permit Number: 1) • M2 _ �. : _ 71, Building Permit Application Planning and Development Seaddes 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 IMPROVEMENT-LOCATION: Address: �� c*�r�tuc�1� -�c.�r. 2_ Port St. Lucie 34952 Legal Description: part of 3414-501-1701-00019-Spanish Lakes One f Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: r Setbacks Front Back: Right Sider Left Side: DETAILED DESCRIPTION OF WORK: w Demolition of mobile home I CONSTRUCTION INFORMATION: Additiona(work ton (epe orme under t is permit—check a aptp y. HVAC L=1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors Electric M Plumbing OSprinklersGenerator, F t Roof Total Sq.Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 45�00Utilities: Sewer RI eptic Building Height: OWNER/LESSEE:. CONTRACTOR: Name Wynne Building Corporation Name: Matthew Lyle Wyrine 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 Com: Part 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(Mwynnebc.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 CONSTRVCTION LIEN-LAW,IN FORMATION 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 wo 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-resid tial use WARNING TO OWNER:Your failure to Reco Notice of Commencement may result in your pay! g twice for improvements to your prope .A Matic f Commencement must be recorded and posted n the jobsite before the first inspection. ou rote fo obtain financing,consult with fender or an attor ey before commencing work or r Ing yo otice of Commencement. I s _Signature of Owner/Lessee/Agent Signature of C6_ntracW19Tj96UWHolder 4 STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sL wde COUNTY OF st Lucie The for_g�QQmg instrument was acknowledged before me The forgoing instrument was acknowledged before me this —_"%ay of`� r�_ 20 by this�`��d'ay of 20 n by Mawmw Lyle W mh- Monew Lyle V4T" (Name of person acknowledgin (Name of person acknowledging) -(Signature of Notary Public-State �bridaff Sign ture of Notary Public,State of FlgFid Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type.of Identification Produced Type of Identification Produced Commission No. Commission No. ,� SMA I' — SUS N MAG E !'`S= SUAN GEE '«� MY COMMISSION#FF 187647 MY COMMISSION#FF i1ai is 187647 yti c iI ""'0.,;fl,0 ©anded Tluu Notarl Public Undenvriters "Rf fa ©onded Thru Notary Public Und tilers Revised 67/IS -- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS