HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Oi- Da9a
Building Permit Applicatid,n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 i!
;Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION..
Address: 6548 DULCE REAL
Legal Description: SPANISH LAKES FAIRWAYS
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Plroperty Tax ID#: 1306-111-0001-000-0 Lot No.
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Site Plan Name: i ! Block No.
Project Name:
Setbacks Front 26' Back: 25' Right Side: 15' Left Side:!; 17'
DETAILED DESCRIPTION OF'WORK:
INSTALL A NEW 10'"X 20' SCREEN ROOM UNDER EXISTING CBS HOUSE ROOF ON
EXISTING CONCRETE. i
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CONSTRUCTION INFORMATION:
itiona work to be nerrormed under this permit—check k all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters 1i I Windows/Doors
Electric Plumbing U Sprinklers q Generator Roof
Total Sq.Ft of Construction: 200 Sq. Ft.of First Floor:
Cost of Construction:$ 1350.00 Utilities:USewer ElSeptic :';Building Height:
OWN_ER/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.
34951 FORT PIERCE FL
Zip Code: Fax: City: State:
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: I !
from the Owner listed above) State or County License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commencement is reg6ired. !,,
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SUP,PLEMENTAL.CONSTRUCTION LIEN_LAW INFORMATION: � I
DESIGNER/ENGINEER:. _Not Applicable MORTGAGE COMPANY:!,: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Rhone-1 !
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ; Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: i-1
I certify that no work or installation has commenced prior to the issuance of a permit.
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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 Am'endme'nts.
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 non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result min 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
iliomni4cing work or recording our Notice of Commencement. �l
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Signature of Owner/Agent/Lessee Sign ture of Contractor/License Holder
STATE OF FLORID STATE OF FLORID
COUNTY OF_o eJ' COUNTY OF lII
The fpVing instrment was acknowledged before me The fo oing ins ruent was acknowledged before me
,this day of by thism
day Li'1 20 by
iI LAOLqw
Kil" i
(Name of erson acknowledging) (Name of plerson acknowledging)
Nrl JaUX6,1�
;�
(Signature of Notary lic-State of Florida) (Signature of Notary P ic-Sltate of Florida)
Personally Known OR Produced Identification Personally Known OR,Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. it V CitiMf NNE RAULERS � mission No.
State of Florida-Notary Pu lic Ij ;cu������, ;CHEYENNE RAULERSON
�? Commission # GG 164911 ,`,PpYP�a•,
a=o;� � State of Florida-Notary Public
December 03, 2021
.A� My Commission Expires
Revised 07/15/2014 ' IF01 December 03, 2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ''! SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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