HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: off- Permit Number:
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Building Permit Application DEC If 1201?
Planning and Development Services PEr3'.1111 —11r G
Building and Code Regulation Division St. !u_—ie Co:nth, FL
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: 25 NOGALES
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 31 FT FT Back: 15 FT Right Side: 36 FT Left Side: 20 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 i3ertormed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
1-1 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 SFt. of First Floor:
Cost of Construction: $ 1350.00 Utilities:n 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.
SUPPLEMENTAL I CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEERS �Not Applicable MORTGAGE COMPANY' Not Applicable
Name: Name:
Address: ! Address:
City I ' State: FL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE FOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: J Name:
Address: I _ Address_
City: I City:
Zip: f�hone: Zip: Phone.•
I
I certify that no work o !installation has commenced prior to the issuance of a permit.
St.Lucie County makes nto representation that is granting a permit will authorize the permit holder to build the subject structure
which is in 4onfilct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consu ti 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 Couni y Amendments.
The following building gqlermit 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 OWNER:Your failure to Record a Notice of Commencemeni 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 obtainlinanc ng,consult will h lender or an attorney before
commencing work or recording our Notice of Commencemeq4.
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Signature of Owner nt/lessee =- si nature o Contr ctor/License Holder
a
STATE OF FLORIDA - STATE OF FLOR DA
COUNTY OF COUNTY OF y
The forgoing Inst ment was acknowledged before me T-
The forgoing Instrume t was acknowledged before me ,.._
W5_0 day of 20 by } this/L day of 20 by Q
o t,
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(Name of person ackric Wedging) (Name of person acknowledging) it
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(Signature ofo ary Piblic-State of Flo da) (Signature of N#PIV Public-State of Florida)
Personally Known II OR Produced Identification Personally Known /OR Produced Identification
Type of identification roduced Type of Identificat on Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2074
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW R VIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS