HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 66��
Date: Permit Number: l�a�
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 IMPROVEMENT LOCATION: -
Address: Port St. Lucie 34952
Legal Description: Part of 3414-509-1701-000/ Spanish Lakes One
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 INFORMATION: {
Additional wor c to be performed under this permit—check all th-a-k appy:
HVAC L1 Gas Tank []Gas Piping _Shutters ' El Windows/Doors
QElectric Plumbing �Sprinklers Generator O Roof
Total Sq.Ft of Construction: S . Ft.of First Floor.
Cost of Construction:$ Utilities: _Sewer I!..!Septic Building Height:
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OVtWNERAESSEE: CONTRACTOR:
NameWynne 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: 84952 Fax:772-878-0224 Com: Port St. Lucie State (-
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 difTerent E-Mail: sue@wynnebc.com
from the Owner listed above) State or County License: CGCO35999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIED LAW]NFORMATION
:
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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.Lucre Counter 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 foe any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perforin the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
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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 use
WARNING TO OWNER:Your failure to /' obt(ain
Notice of Commencement may result in your paying twice f r
improvements to your property.A Notmmencement must be recorded and posted on the jo site
before the first inspection. I intenfinancing,consult with lender or an a ey be e
commencingwork or re our Commencement
s
Signature of Owner/_ /Agent Signature of Contract cen der
0
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL lssae COUNTY OF sL Lure
The f�orTing instrument was acknowledged before me The Oday
g instrument was acknowledged before me
this mem;
ay o€-s , rr 20 Eby this of > � ,20 L) by
Manww Lyle Vhyr� M-ft—Lyleyyy— i
{Name of person'acksiowiedging} (Name of per cknowledging,}
r
of Notary Pubilc State of r" a l ature of Notary Public-S Florida j
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
"Y-� SLISAN MAGEE ! .otir;eyA4, SUSAN M�EE
Commis" {Sea Commission No. =: GphiMiSSI0$JEE7647
•: tr #F
F 187647 =*;
EXPIRES:February 23,2019 EXPIRES:February 23,2019
%�' '°e` Bonded Thru Notary Public Undervidto s
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE I _T
INITIALS