HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO`BE ACCEPTED
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Date: 101 • D'-'t ' ) ! Permit Number:-�,
SCANNED
BY DEC 2 9 Z017
St Lucie County
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 X
Address: 11 OCTAVIO CT.
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front 33' Back: 15'
Right Side: 21'8" Left Side: 16'
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOM '2 BATH - GARAGE
Aaamonai worK to De errormea
W1HVAC E] GasTank
R1Electric 0 Plumbing
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ 58,000
tnis permit -cnecK an apply:
[]Gas Piping _ Shutters Q Windows/Doors
[]Sprinklers Generator W1 Roof
Sq. Ft. of First Floor: 2,108
Utilities: Sewer El Septic Building Height: _
Name WYNNE BUILDING DEPARTMENT
Name: MATTHEW LYLE WYNNE
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Company: WYNNE DEVELOPMENT CORPORATION
City: PORT ST. LUCIE State: FL
Address: 8000 SOUTH US HWY. 1 - SUITE 402
Zip Code: 34952 Fax: (772) 878-7656
City: PORT ST. LUCIE State: FL
Phone No. (772) 878-5513
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 08898
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN & BRADEN
Address: 417 COCONUT AVE.
City: STUART
Zip: 34996 Phone: (772)287-8258
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State: FL
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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.
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 result 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 recoraing your Notice of Commencement.
--� s
_ Signature of Owner/ Lessee/Agent Signature of Co ctor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF ; , "c, f COUNTY OF Sr LA c c
The forgoing inst ument was acknowledged before me The forgoi g instrument was acknowledged before me
this _ a"y of I yL 20 J2by this y of ��Cf7r)Br`X 20 LZ by
/%iA r 7 9 ,-w L Y(_ C W YNry C I M �47nl&-W L Y cC /A) Y.,u 1rC
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotF0Public-Stateof Florida )
Personally Known - OR Produced Identification
Type of Identification�,gLo,},i� ,
DOROTHYANN BASKIN
Commission No. fAyCommitSM)#GG03014.5
EXPIRES: October 2, 2020
anndad Thru Notary Public Underwriters
Revised 07/15/2014
_ dt � ldaa_�
(Signature of Nota(&ublic- State of Florida )
Personally Known �OR Produced Identification
Type of Identifi
°'°;Bcs DOROTHYANNBASKIN
Commission No MYCOMMISSION($90630145
�e EXPIRES: October 2, 2020
Bonded Thr, Notary public Underwrrfan
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