HomeMy WebLinkAboutBuilding Permit Application l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q O
Date:
Permit NumIber:
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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 IMPROVEMENT LOCATION:
Address: 6 HIDALGO
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front 30FT Back: 40' Right Side: 14' Left Side: 22'
DETAILED DESCRIPTION OF WORK; I'
INSTALL A NEW 10' X 20' SCREEN ROOM UNDER EXISTING CBS HOUSE ROOF ON
EXISTING CONCRETE.
CONSTRUCTION INFORMATION: .
itiona wor to ene orme under t is permit—c ec a appy:
0HVAC bLJ Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: 200 S . Ft.of First Floon!
Cost of Construction:$ 1350.00 Utilities:SewerEl Septic :, Building Height:
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jOWNER/LESSEE: CONTRACTOR'+ i I
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
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.;
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SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION;:._ f
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: 1 1
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I i
City: City: I
Zip: Phone: Zip: Phone:
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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 Ito 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.
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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 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
commeocing work or recording our Notice of Commenceme .
Sig ature of Owner/Agent/Lessee Signature of Con actgf/Licensie�Holder
STATE OF FLORI '11 n STATE OF FLORID .
COUNTY OF , � L�ln COUNTY OF�
The f in instrume,l t was acknowl'ed ed before me
The f oing inst ument was acknowledged before me g g
this day of 11B by this day of I 20_4 by
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(Name of1person acknowledging) (Name of erson acknowledging)
A J-91 A—,
((Signature of Nota blic-State of Florida) Signature of Notary c-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
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Commission No. 1 ( (Seal) Commission No.
NE RAULERS N Ij I,,;�;I,V'd��%,, CHEYENNE RAULERSO
�, cqtFim of Florida-NotaryP ubli
3S�` psState of Florida otary u Ic " •_= Commission fi GG 164911
f Revised 07/15/2014 •?
Commission N GG 184911 My Commission Expires
'"� P� My Commission Expires i��°rf�O��`�`
° "°� r 3 2021 I ��I,�` December 03, 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS I i a
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