HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: J
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Building Permit Application DEC 1 1 2017
Planning and Development Services
Building and Code Regulation Division PER"elII IT I'':
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Ccun •,. TL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 57 IPANEMA WAY
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 31 FT Back: 62 FT Right Side: 14 FT Left Side: 19 FT
DETAILED DESCRIPTION OF WORK:
INSTALL A NEW 10 FT X 20 FT SCREEN ROOM UNDER EXISTING C.B.S HOUSE ROOF ON
EXISTING CONCRETE.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a apply:
HVAC E]Gas Tank Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 S Ft. of First Floor:
Cost of Construction:$ 1350.00 Utilities:Sewer O Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNN BUILDING CORP Name: PATRICK DIFRANCESCO
Address:8000 S. US 1 Company: TRI-COUNTY ALUMINUM,INC
City: PORT ST. LUCIE State:FL Address: 5512 SEAGRAPE DR.
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.772-828-5516 Zip Code: 34982 Fax: 772-461-0993
E-Mail: Phone No. OFFICE 772-461-0993 CELL 772-216-7780
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL ON5TRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINE R: Not Applicable MORTGAGE COMPANY:I Not Applicable
Name: : Name:
Address: I : Address: I
City: I State: rc City: T State:
Zip: Phone- Zip: Phone-
FEE SIMPLE TITLE"OLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name; Name:
Address: _ Address-
City: City:
Zip: Plhone: Zip;
Phone
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I certify that no work of installation has commenced prior to the issuance of a permit.
St. Lucie Countiyy makes 'o representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in onfllct with any applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohibit such
structure.Pease consu t,with your Home Owners Association and review your deed f r 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 Coun Amendments.
The following building RRi ermit applications are exempt from undergoing a full concurr ncy review:room additions,
accessory structures,sWlmming pools,fences,walls,signs,screen rooms and accesso uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Cornmencemenmay result in your paying twice for
improvements to your property.A Notice of Commencement must be ecorded and pasted on the jobsite
before the first insoection. If you intend to obta(Nfictancing,consult wi h lender or an attorney before
comm cin work or recording our Notice of -onnmen' eme .
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Signature of Owner nt/Lessee Si nature o contr ctor/License Holder -
STATE OF FLORIDA - g. STATE OF FLORIDA
COUNTY OF ! = " COUNTY OF
The forgoing instrume t was acknowledged before me I The forgoing instrument was acknowledged before me �•z a f
this d a of Zo by !of. day of 20—z by T
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(Name of person ackric"ledging) (Name of person acknowledging)
it
(Signature ofo ary PXblic-State of FIo da) (Signature of N Publlc-State of Florida}
Personally Known I OR Produced Identification Personally Known /OR Produced Identification
Type of Identification r1oduced __ Type of Identificat on Produced
Commission No. (Seal) Commission No. (seal)
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Revised 07/15/2014
REVIEWS FRONT ZONING; SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW R VIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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