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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /UO I -0330
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: Aluminum with concrete
PROPOSED]M PROVEM ENT LOCATION:
Address: 14455 CANCUN
Le al Description:g p SPANISH LAKES FAIRWAYS
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Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 30' Back: 31' Right Side: 20' Left Side: 1:14'
DETAILED DESCRIPTION.-OF WORK:
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INSTALL A NEW 10' X 20' SCREEN ROOM UNDER EXISTING CBS HOUSE ROOF ON
EXISTING CONCRETE.
.CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all it appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
aElectric 0 Plumbing Sprinklers Generator Roof
Total Sq..Ft of Construction: 200 S . Ft.of First Floor:
Cost of Construction:$ 1350.00 Utilities: Sewer ElSeptic 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.
IZip Code: 34951 Fax: City: FORT PIERCE i° State:FL
Phone No.772-828-5516 Zip Code: 34982 i 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 CONSTRUCT-ION LIEN-LAW INFORMATION::
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ' _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ! Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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.
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The following building permit applications are exempt from undergoing a full concurrency;review:room additions,
accessory cessory 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
c'om ncin work or recording our Notice of Commencemen
Signature of Owner/Agent/Lessee Signature of nt or/License Holder
STATE OF FLORID STATE OF FLORIDA' `
COUNTY OF ( . � J___Q_ COUNTY OF is
The fprgoing Inst u ent was acknowledged before me The fgfgoing instr ent was a knowledgedefore me
this day of 0 JEby this T day of by
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0 01
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('Name of Oerson acknowledging) (Name of erson acknowledging)
i(Signature of Not blic-State of Florida) (Signature of Notary P,I c-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. Seal
,a......., CHEYENNE RAULERSON o�yrP'��•, CHEYENNE RAULERSON
`��°� �si�i MOtef Public ;o�� �Bi;, czt
• Commission # GG 164 •= Commission # GG 164911
Revised 07/15/201 = a, My Commission Expires ;� a: M
`'"`'�� December 03. 2021 %„o•F�q;:�' Y Commission Expires
�nnm`� '�'” December 03, 2021
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