Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBUILDING 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