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BUILDING PERMIT APP - 6 OCTAVIO
ALL APPLIMU INFO MU§T Of WMPLIET€P FOR APPN€ATION TO Of=f PT€O Date: Permit Number: CL� Building Permit Application Planning and Development services Ouilding and Code Regolation Division 2300 Virginia Avenue,Fort Pierce Fl•34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 6 OCTAVIO Legal Description: EAST 1/9 OF SECTION 1 -TOWNSHIP.345-RANOE 39E Property Tax lD#: 1301-171-0001-000-5 Lot No. Site Plan Name: COUNTRY CW13 VILLAGE: Block No. Project Name: Setbacks Front 32' Back: A5' Right Side: 15' Left Side: 14' DETAILED DESCRIPTION OF WORK: SINGLE FAMILY RESIDENCE (replacement home) - 1 BEDROOM - DEN - 1 1/2 BATHS -GARAGE CONSTRUCTION INFORMATION: Add tional work to be performed under t ispermit—check all apply: WHVAC Gas Tank Gas Piping Shutters Windows/Doors ©Electric 0 Plumbing ❑Sprinklers El Generator IV] Roof Total Sq. Ft of Construction: 1.750 Sc: Ft.of First Floor: 1,750 Cost of Construction:$ 58.000 Utilities: LJ Sewer Ll Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNNE BUILDING DEPARTMENT Name: MATfHEW LYLE WYNNE Address:8000 SOUTH US HWY. 1 -SUITE 402 Company: WYNNE DEVELOPMENT CORPORATION City: PORT 5T.LUCIE State:FL Address: 8000 SOUTH US HWY. 1 -SUITE 402 Zip Code: 34952 Fax:(772)878-7656 City: PART ST.LUCIE State: FL Phone No.(772)$78-5613 Zip Code: 34962 Fax: (772)878-7656 E-Mail: Phone No. (772)878-5513 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: 08898 If value of construction 16$2500 or more,a RECORDED Notice of Commencement 16 required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: BRADEN&aRADEN Name: Address:417C000NUTAVE. Address: City: STET State: FL City: State: Zip: 34M Phone: crmza7-a s' 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 priorto the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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 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 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 Record a Notice of Commencement may resuk in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing work or recording our Notice of Commencement. -�- s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S, "c,c:7 COUNTY OF Y-. /..e.c,,c The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this I I day of—{�l� 20 al by this 11 day of� 20 aL by (Name of person acknowledging) (Name of person acknowledging) ee (Signature of Not Public-State of Florida) (Signature of Nota Qy ublic-State of Florida) Personally Known t/ OR Produced Identification Personally Known ✓OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. DOROTH14&PASKICommission No.N - MY DC)POTHYSION#HH 045443CMNIS 1 EXPIRES:October2,2024 ISSION#HH 04544OM 3 on ed Thru Notary a Public Utlervmters 'oor(i? er 024it Revised 07/1 2014.... Sanded Th u No ary pub c U MerN to s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS