HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTED
Date: Permit Number:
•
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 IMPROVEMENTLOCATION: = =
Address: Ck�—e
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front \� Back: V-0 Right Side: \(� Left Side: 7,C:)t
DETAILED DESCRIPTION OF WORK:
INSTALL A NEW 10 FT X 19 FT SCREEN ROOM ON CBS HOUSE. UNDER EXISTING ROOF.
'ON EXISTING CONCRETE.
CONSTRUCTION INFORMATION:
Add itional work toe e Orme under this permit—check a apply:
HVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric El Plumbing Sprinklers GE nerator Roof
Total Sq. Ft of Construction: 190 S . Ft.of First Floor:
Cost of Construction:$, ,�� Utilities:IlSe er E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:-
Name
ONTR CTOR:Name WYNN BUILDING CORP Name: P TRICK DIFRANCESCO
Address:8000 S. US 1 Company TRI-COUNTY ALUMINUM,INC
'City: PORT ST LUCIEState:FIL 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 ounty License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
r?
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI O N.
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: FI_ City: State:
Zip: Phone,: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDINJ COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 authorii a 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 thz t 1 will,in all respects,perform the work
iIn 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 c)ncurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and a cessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commenc Ment may result in your paying twice for
improvements to your property.A Notice of Commencement mu t be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,cons It with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature o Cont r/License Ho
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY.OF S- C,« COUNTY OF 3-r i
The forg,q st g instrumen was acknowledged before me The forgo'n instrument was acknowledged before me
;this JJ::' of J u ns 20-Mby this of Ti.. Al E 20 'by
/yI�{-tt��Zu L yL E 11VN8 � Lax � NCES W
(Name of person acknowledging) (Name of person acknowledging)
4,0L.-I 01'Y'..n I JO 4e,
(Signature of Nota P.blicc--State of Florida) (Signature f Nota u�blic-SState of Florida)
Personally Known V OR Produced Identification Personally nown OR Produced Identification
Type of Identification Pro a Type of Ida tifica ___..
^P.'•°s'" DOROTHYANN BASKIN
,••:��P�&- DOROTHYANN BASKIN ;'�ti' t��;
Commission No. r' OMMIS9I bG 030145 Commissio No. ۥB + MY CO&4mISS10(&8Q030145
EXPIRES:October2,2020 PIRES:October2,2020
+�^f; ,r� 80nded Tarr Notary Public Underwriters
Iic Underavriters n ,t
Revised 07/15/26 1-4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS