HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application 1
Planning and Development Services j
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 I i
iPhone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
Aluminum with concrete
-PROPOSED IMPROVEMENT-LOCATION . °.�
Address: 56 GOLF DRIVE 1 I
LI gal Description:
ST.LUCIE GARDENS ! j
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Lot No.
3414-501-1701-000-9 i i i
Plroperty Tax ID#: ,
Site Plan Name: i i Block No.
II
ect Name:
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Setbacks Front 31 FT Back: Right Side: 13'6" Left Side: 64-6,"-1
DETAILED DESCRIPTION OF
INSTALL A NEW 10' X 20' SCREEN ROOM UNDER EXISTING CBS HOUSE ROOF ON
EXISTING CONCRETE.
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COiVST.RUCTION INFOR(VIATION
itiona wor to e e orme under this permit—c ec a appy:
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HVAC Gas Tank ❑Gas Piping _Shutters l Windows/Doors
Electric El Plumbing Sprinklers Generator I Roof
Total Sq.Ft of Construction: 200 Sq. Ft.of First Floor::; 1
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- Cost of Construction:$ 1350.00 Utilities:1:1Sewer Septic i iBuildi ng Height:
OV1/NER/LESSEE CONTRACTOR:
Name WYNN BUILDING CORP Name: PATRICK DIFRANCES'CO
Address:8000 S. US 1 Company: TRI-COONTYAL' U,PMINM,INC
City- PORT ST LUCIE State:FL Address. 5512 SEAGRAPE DR.
Zip Code: 34951 Fax: City: FORT PIERCE I I State:FL
Phone No.772-828-5516 Zip Code: 34982 Fax: 772461-0993
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. 1
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SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: I" _Not Applicable
Name: Name:
Address: Address: ! 1
City: State: City: ; ii State:
Zip: Phone: Zip: Phone: i'!
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: j :_Not Applicable
Name: Name:
Address: Address:
City: City: i
Zip: Phone: Zip: Phone: 1 1
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I certify that no work or installation has commenced prior to the issuance of a permit. i
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,endm ' s.
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 resulfln your paying twice for
improvements to your property.A Notice of Commencement must be recorded a:n'd posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender organ attorney before
comq*cing work or recording our Notice of CommencemeDi.
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Signature of Owner/Agent/Lessee Signature of Contractor/License!Holder
STATE OF FLOR STATE OF FLORIDA' 1 11
COUNTY OF lo �A COUNTY OF (_ ' l� -�-
The f oing instr ment was acknowledged before me The f oing instrument was acknowledged before me
this:,day o 20 A by this day of I 1 i `20_j.Bby
(Name ofTerson acknowledging) (Name of Aerson acknowledging)
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(Signature of Notary Pub. State of Florida) (Signature of Notary,P; -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
Commission No. - mission Noa-1-1 I (Seal)
CHEYENNE RAULERS N _
State of Florida-NotaryPu licil 11110- F R - '!11�--—
120 t= Commission # 164911 1;idlo ��.,'
My Commission Expires ':State of Florida-Notary Public
Revised 07/15/2014 4911 111% December oa. 2021 �' Commission M GG 164911
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December
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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