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PERMIT APPLICATION
1i UN I; A review.,of will be made With ST.,LI. APFLIGATI JOB LOCAT LEGAL DES R 1ND..P13;(}Pf.RTY rr�, r 40iniftl, ST. LUCIE COUNTY PERMIT �conipli.,nce COUNTY ' � w /1 �in E, t FOR PERMIT TO CONSTRUCT ( CODE # ) Single family d' N/ADDRESS: - IPTION see attached '?$? OF1 - -9 APPLICATION Di,IVREWAUPEDPERMIT SEWAG 'PERNNM��IT NO. .4 - f I*de1 /CoO� Init. `1M1 � ► Lam• ism IMPACT: DISTRICT ..�y ZONE FEE Ole nder Pines MAP r 130 )PERTY T ' SIZE/Dh BACKS: FT BUILD 'HITECTs ain) 1# FLOOD ZONE ELEV _ BLOCK 1 UNIT SE� � 15 TWPI 36S RGE 40E ID # Par.t. of 3415-501-0050-000/6 - --� ZONE GMPP t� L — SIONS �i.�(�X �� � � - - � './' C�--, srt , - . EST COST $ 2 5 , 0 8 0 . )NT 2 5 REAR 31 SIDE ©� SIDE LIVING AREA 1580 ACCESSORY Radon: NAME PHONE ADDRESS CITY ST Zip STATES%CERT # CGC035999 COUNTY CERT #_ 0 �S Wynne Development Corp. ADDRESS 8000 South US#1, Suite 402 CITY Port St'. Lucie STATE FL ZIP 34.9,52 878-5513 PHONE OWNER OF NAME Sundial Homes - Joel F. Wynne, Trustee PROPERTY,, ADDRESS 8000 South US #1., Suite 402 878-5513 W�rk - PHONE. CITY Port. St. Lucie STATE FL ZIP 34952 TE OF FL0'RIDA, COUNTY OF ST. LUCIE A/ Before e, the undersigned authority, personally appeared who upon ig my sw rn, eposes and_ says that the Information contained in the foregoing application is true and correct. ` AppIttcant Sworn o and subscribed before me this 3 day of -- �� 7Lp r 19-22. t.a SCHOOL IMPACT FEES Required ❑ Yes No Amt. Pd 9^3 Date Pd Posted 0