HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ���
Date: 1 I Permit Number:
17—
Building Permit Application DEC 1 12017
Planning and Development Services F'R;*f 1171NG
Building and Code Regulation Division 5t. "Cie Ccuotv' F=R
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 12 JULIA
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 13 FT Back: 18 FT Right Side: 20 FT Left Side: 54 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 to be ertormed under t is1_1permit–check a appy:
HVAC Gas Tank E]GasPiping _Shutters 11 Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 Sq. Ft. of First Floor:
Cost of Construction: $ 1350.00 Utilities:Sewer E]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.
i
SUPPLEMENTAL ONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINE R: Not Applicable MORTGAGE C MPANY: Not Applicable
Name: Name:
Address: Address:
City: I State: FL City; State:
Zip:_- _Phone, Zip: I Phone:
FEE SIMPLE TITLE 40LDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: I _ Address:
City: I City:
Zip: Plhone: Zip: Phone;
i
I certify that no work o installation has commenced prior to the issuance of a permit.
St. Lucie County makes o representation that is granting a permit will authorize the permit holder to build the subject structure
which is inonflict 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 Nr 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 buildingRl I rmit applications are exempt from undergoing a full concurr ncy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accesso uses to another non-residential use
WARNING TO OWMI ER:Your failure to Record a Notice of Commencemen may result in your paying twice for
imrovements to your property.A Notice of Commencement must be ecorded and posted on the jobsite
befpore the first inspection. If you intend to obtatnJinancing,consult with lender or an attorney before
commmcing work or recording our Notice ofommenieme
I
'
Signature of Owner nt/Lessee - Si nature o Conti ctor/license Holder
STATE OF FLORIDA - H STATE OF FLOR DA
COUNTY QF ti = ` COUNTY OF
W._
The forgoing instrume't was acknowledged before me I hforgoing instrument was acknowledged before me
this day of ZO bye #lis/��day of 20 by t T
�C` '
iy i CS Ct, ) Ct z 3
(Name of person acknowledging) (Name of person acknowledging) i
(signature ofo ary P blit-state of Flo da) (Signature of N Public-State of Florida}
Personally Known OR Produced Identification Personally Known /OR Produced Identification
Type of Identificationeoduced Type of Identificat on Produced
Commission No. I Seal Commission No. (Seal)
(seal)
Revised 07/15/204
REVIEWS FRONT ZONING SUPERVISOR PLANS VE STATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW R VIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS