HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCAT10N TO BE ACCEPTED —}(�
Permit Number: l ( �
Date; R E
Building Permit Application JAN 0 6-il
Planning and Development SeVices
Building and Code Regul/WdiiDivision
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:{772}462-1553 Fax:(772)4621578 Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:'-�O
`.�J,e C�c�Lc_ v SZ Port St. Lucie 34952
Legal Description: part of 3414-509-97094)0019-Spanish Lakes One
I
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front £tack: Rightside:, Left Side:
DETAILED DESCRIP I ION OF WORK:
Demolition of mobile hoMe
CONSTRUCTION INFORMATION:
A ►trona woric to [e De orme under this permit—c ec c a appy:
HVAC Ll Gas Tank QGas Piping _Shutters F]Windows/Doors
LJ Electric 0 Plumbing QSprinklers 0 Generator L_J Raof
Total Sq.Ft of Construction: .Ft of First Floor:
Cost of Construction:$ � Utilities:
Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Named Buildit Corporation Name- Matthew Lyle Wynne
Address-8000 South US 1,Suite 402 Company:Wynne Development Corporation
Cit,: Port St.Lucie Stater Address: 8WO South US 9,Suite 402
Zip Code:34952 Fax:772-878-0224 may- Port St.Lucie State:Ft
Phone No.772-87845593 Zip Code., 34952 Faac 772-8784)224
E-Mail:swynnebc-com Phone No. 7,72-87&5513
Fill in fee simple Tide Holder on next page(if 0ferent E-Mail: sue NwYnnebc-c0m
from the Owner lusted above) State or County License: CGCO359M
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT-ION LIEN LAW-INFORMATION:'
®ESIGh9ER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
may: 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 Courses makes no rep non that is granting a permit will authorize the holder to build the subject re
which is in conflict wrlfi any,applicable Home Owners Association rules,bylaws or angcoovenants that! restrict ;r Prohib 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,l do hereby agree that i will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lude 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 ' I use
WARNING TO OWNER:Your failmle to Record a Notice of may reset m your for
improvements to your property.A Notice of Commencement must be'recorded andl pot the jobsite
before the first inspection.If you Intend fo btain financing,consult with lender an o y before
commence work or recordi our N of Commencement.
_Signature of em Signature of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL L� COUNTY OF sL w�
The fo mg instrument was admawtedgecibefore me The forgoing instrument was acknowledged before me
thisM 1' 20 by this day of 20 `�by
MawwwLyle bV IW14- MatBvewLyleVVAM
11177 acknowledgi/ng.} (Name of son acknowledging)
d
ignature of Notary Public-Stateof da) re of Notary Public-State of Flori
Personally Known x OR Produced Identification Personally Known x OR Produ Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) commission No. {Seal)
SUSAN MAGEE s..:
t: Ily OMMISSION#FF187647 SU N
�. EXPIRES;Fobn cry 23 2019 sf MA' E
Revised#1/1S12UY4 =+- �; MY COMMISSION FF 187647
'gyp °° Bonded'ttnuDo.ar,,P ubiicUnd3nvriters s�ti; :Ka
EXPIRES:February 23,2019
w« d ry u c Undenvoters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA% VE
COUNTER REVIEW REVIEW REVIEW REVIEW' REVIEW REVIEW
DATE
COMPLETE
INITIALS