HomeMy WebLinkAboutBuilding Permit Application i I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permi Number: 1-7 01 ' 0-a
i
__.:_____.- ..• 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 i 'Ae" sidential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP.0►SED IMPROVEMENT LOCATION Y
Address: C�7 c_e� Fort Pierce 3495?
Legal Description: part of 1301-111-0001-00015-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 QESCRIPTION OF WORK:'
Demolition of mobile home
i
CONSTRUCTION liIFORMATION
itiona wor to e n e orme under t, is permit-c ec�all appy:
HVAC LJ Gas Tank []Gas Piping _Shutters El Windows/Doors
O
Electric Li Plumbing Sprinklers
El
ELIGenerator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OINNERjLESSEE y ^` CONTRACTOR
E,.
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: X952 Fax: 772-878-0224
E-MaiI:sue@wynnebc.com Phone No. T72`878-5513
Fill do fee simple Title Holder on next page(if different E-Mail: sue@v,�nnebc.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.
I
i
j
{ (
SC3PPL�'MENTAL CONSTRUCT11pN LIEN,L,4W INFt5R�V1A7'IQN �� ,V,r(r r "` t
DESIGNER/ENGINEER: Nat Appllcab ,� ., = .l= '�
le MORTGAGE COMPANY: Not Applicable
Name: � Name: '
}
Address: Address: � :I
City: State: City: ! ! State:
Zip; Phone: Zip: I Phone:
I i(
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY-::' Applicable
Name: Name:
Address: Address: i
City: City: I
Zip: Phone: Zip: ( Phone:'
I f`
I certify that no work or installation has commenced prior to the issuance of a permit. I {
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.
to 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 concurrerucy review:roam 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 praying twice for
improvements to your property.A Notice of Commencement must be recorded'and posted on the jobsite
before the first inspect* n. If you intend to obtain financing,consult with Mender' r a attorney before
commencin work cording our Notice of Commencement. {
_signature of Owner/Lessee/A Signator o Con char Lic
STATE OF FLORIDA STATE OF FLORIDA !
COUNTY OF n irie COUNTY OF st L--i-1
The o Ing instrument was acknowledged before me The forping instrument was acknowledged before me
thi day of Qc, -,Nz,___ _.,._2t3`C�sy th e a of(Dc 20 ` by
,i
Mattmew We Wynr-* MaMeer Lyle Wynne
(Namria of pe n 'cknowledgi/ng)� (Na of p o ackn`owiedgin'
(Signature of Notary Pub 11ic-S Florida {Signature of Notaryf?ublIc-=roduced
orida)
Personally Known X R Produced Identification Personally Known XI O Identification
Type of Identification Produced Type of Identification Producer!
Commission No. '�"Y84"' �I� € Commission No. J {Seal)
°`_ com $3 F167647
EXPIRES:February
23,2019Ivor U
EXPIR 167647
...��e, :February 23,2019
Revised 07/15/2014 Rf,l„ Bonded Tim,Notary prrirHn 11--Yrttem
warm—
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
COMPLETE
INITIALS
I ..I
{