HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
31c�
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Building Permit Application
Planning and Development Services
(Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION.-
Address:
OCATION.Address: 6783 SECOYA j
Legal Description:
SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name:
Block No.
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Project Name: i
Setbacks Front 34' Back: Right Side: 16' Left Side:'17'
DETAILED DESCRIPTION OF WORK: .,
INSTALL A NEW 10' X 20' SCREEN ROOM UNDER EXISTING CBS HO UI SE ROOF ON
EXISTING;CONCRETE.
CONSTRUCTION_INFORMATION:-
Acid
itional work to up nerformecl un er t is permit—c ec a appy: _
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HVAC Gas Tank ❑Gas Piping Shutters I Windows/Doors
Electric 0 Plumbing O Sprinklers OGenerator Roof
Total Sq.Ft of Construction: 200 S . Ft.of First Floor::
Cost of Construction:$ 1350.00 Utilities: Sewer Septic I Building Height:
OWNER/LESSEE:: :CONTRACTOR:'(
Name WYNN BUILDING CORP Name: PATRICK DIF,RANCESCO
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 1 , State:FL
Phone No.772-828-5516 Zip Code: 34982 ' i'! Fax: 772-461-0993
E-Mail: Phone No. OFFICE 77241-0993 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: ?4,444
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN,LAIN INFORMATION:_. !
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: i
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun makes no representation that is granting a permit will authorize the permit holderto 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.
The following building permit applications are exempt from undergoing a full concurrency,review.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another ri,on-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
q;omnncing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Si nature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA � I' -
COUNTY OF_v COUNTY OF
The fnwoing instr ent was acknowledged before me The for oing instru ent was Ieknowledged before me
this z day of 20 14 by this�day of I U by
P"kie'unry QIL�LL�
( ame of aerson acknowledging) (Name of p rson acknowledging)
Offi jU LLA W'� DA9\11J,I
(Signature of Notary P -State of Florida) (Signature of Notary PubW-State of Florida)
Personally Known OR Produced Identification Personally Known OR''Produced Identification
Type of Identification Produced Type of Identification Produced'
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Commission No. 01-J CHEMNINE RAULERSON Commission No. ZLVd�. CHEYE NE AULERSON
¢ ,State of Florida Notary Public .�``a
=• •= Commission N GG 164911 �, �`t'.State of Florida-Notary Public
iviy Commission Expiresa'� My Commission Expires
December 03, 2021 °n;;;;°° December 03, 2021
Revised 07/15/201
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE '
INITIALS
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