HomeMy WebLinkAboutBLDG PERMIT APP - 81 CALLE DE LAGOSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
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
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 81 CALLE DE LAGOS
Legal Description: EAST 1/2 OF SECTION 1 - TOWNSHIP 34S - RANGE 39E
PropertyTax ID #: 1301-111-0001-000-5
Site Plan Name: COUNTRY CLUB VILLAGE
Project Name:
Setbacks Front34' Back: 19'
DETAILED DESCRIPTION OF WORK:
Right Side: 12'2" Left Side: 12'2"
Lot No.
Block No.
SINGLE FAMILY RESIDENCE (replacement home) - 2 BEDROOMS - 2 BATHS - GARAGE
NO SLAB WILL BE BUILT OFF REAR OF HOME
CONSTRUCTION INFORMATION:
❑✓_ HVAC Ll Gas Tank ❑Gas Piping
Electric ❑✓_ Plumbing Sprinklers
Total Sq. Ft of Construction: 2,108
Cost of Construction: $ 58,000
LJ Shutters Z Windows/Doors
L]Generator Z Roof
S Ft. of First Floor: 2.108
Utilities:T]Sewer El Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
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
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 8000 SOUTH US HWY. 1 - SUITE 402
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: 08898
n vame or consstrucaon is >Ibuu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: BRADENBBRADEN
Address: 417 COCONUT AVE.
City: STUART State: FL
Zip: 34996 Phone: (772)2E7-82se
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
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 recordine vour Notice of Commencement
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST. L t ve
The fordo pg instrument was acknowledged before me
this-C day of evA / 20 22by
S
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5'%. Z- cic
The forgoing instrument was acknowledged before me
this 6Aday of iC�i0.—'u A-XV 20 Sa by
Ih'4T1WC—W LYCE WyN.ve _i y4l-77HeW LYce GUiYywj
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not4U Public- State of Florida )
Personally Known OR Produced Identification
Type of Identific
Commission No. I`? My COMMISS%APH 045443
. . ;o; EXPIRES: October 2, 2024
I,"7rforn4°�' Bonded Thru Notary Pubne Undennitei
Revised 07/15/2014
(Signature of Nota ublic- State of Florida )
Personally Known OR Produced Identification
Type of IdentificatWg Qdured
Commission No.
EXPIRES: October 2, 2024
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