HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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
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PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 40 GRANDE VISTA WAY
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
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Site Plan Name: Block No.
Project Name:
Setbacks Front 31' Back: 36' Right Side: 15' Left Side: 15'
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DTEAILED DESCRIPTION OF WORK: s,
INSTALL A NEW 10' X 20' SCREEN ROOM UNDER EXISTING CB;S HOUSE ROOF ON
EXISTING CONCRETE.
CONSTRUCTION INFORMATION: -
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters E Windows/Doors
aElectric Plumbing O Sprinklers E]Generator Roof
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Total Sq. Ft of Construction: 200 S . Ft.of First Floor:
(Cost of Construction:.$ 1350.00 Utilities:�Sewer Septic Building Height:
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1OWNER 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
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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 LAW INFO:RMATION: ..-
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: ! State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
Icertify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counter 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
i I 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,
2essory 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
6M914ricing work or recording our Notice of Commenceme .
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S nature of w Agen essee S' nature of Contractor/License Holder
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STATE OF FLORI STATE OF FLORIDA �n
COUNTY OF_j � LAC 3, S2- COUNTY OF r .^lo
The gfing instr ent was acknowledged before me The fgFgoing instr ent was acknowledged before me
thisday o o A by this t- day of "Lde
by
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(Name of p rson acknowledging) (Name of erson acknowledging)
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ignature of Notary Pu c-State of Florida) (Signature of Notary PAU--State of Florida)
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced 1
Commission No. 1 (Seal) Commission No. { (Seal)
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� state
of Florida-Notary Public :��9�'�Y��Aeg��,State of Florida-Notary Public
Revised 07/15/2014 Commission # GG 164911 •_ Commission # GG 164911
��.` My Commission Expires q `o°�SMy Commission-Expires
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becenibe, es, 202i
REVIEWS FRONT ZC[NfNG SUPERVISOR PLANS VEGETATIO SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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