HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i ry
Date:1 0� u' f '� Permit Number:
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Building Permit Application DEC , 12017
Planning and Development Services o;-1IT ING
Building and Code Regulation Division St. Lucie Ccu ntl:, F:_
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: 20 MED SOUTH
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 29 FT Back: 25 FT Right Side: 19 FT 6" Left Side: 13 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 appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers M 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.
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SUPPLEMENTAL ONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINE R: Not Applicable MORTGAGE COMPANY: Not Applicable
Name- i T Name:
Address: Address:
City: I ' State: FL City: State:
Zip:_ _Phone- Zip: Phone:
FEE SIMPLE TITLE FOLDER: _Not Applicable BONDING CO PANY: Not Applicable
Name: Name:
Address: _ Address:
City: I City:
Zip: Phone: Zip: Phone.
I certify that no work or Installation has commenced prior to the issuance of a permit,
St Lucie Counttyy makes o representation that is granting a permit will authorize the permit holder to build the subject structure
which is in 4onflict with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consu tjwith 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 willin all respects,perform the work
In accordance with the'approved plans,the Florida Building Codes and St. Lucie Coun Amendments.
The fallowing buildinglermit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,Xmming pools,fences,walls,signs,screen rooms and accessoiy uses to another non-resldential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twine for
improvements to your property.A Notice of Commencement must be recorded and pasted on the jobsite
before the first inspection. If you intend to obtain.;financing,consult with lender or an attorney before
comm"cing work or recording our Notice of CommenWme
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Slgnature of owner nt/Lessee 'S) nature a Contr ctor/license Holder ,
STATE OF FLORIDA - `STATE OF FLOR DA
COUNTYOF = ' COUNTY OF :.
' The forgoing instri.iment was acknowledged before me t,=
The forgoing instrumet was acknowledged before me zi
this day ofr1p r 20 by (_ this/L _day of .20 by
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�:Pp TX le 1 . rk n 0 e- r)0- L)
(Name of person acknowledging) (Name of person acknowledging)
(Signature ofo ary Pjblic-State of Flo da} (Signature of N Publlc-State of Florida)
Personally Known I I OR Produced Identification Personally Known /OR Produced Identification
Type of Identification Fi-oduced Type of Identificat on Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/20 4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW R VIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS