HomeMy WebLinkAboutBuilding Permit Application (2) r �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: 0 ��• [c�
Building Permit App !cation
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: A'�'
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No:
Project Name:
Setbacks Front Z>` Back: �,�1 Right Side: NL9, I eft Side: \�D
DETAILED DESCRIPTION OF WORK: =
INSTALL A NEW 10 FT X 19 FT SCREEN ROOM ON CBS OUSE. UNDER EXISTING ROOF.
ON EXISTING CONCRETE.
CONSTRUCTION INFORMATION:
Additional work to be nertormedunder this permit—c ec a app y:
0HVAC L_J Gas Tank Gas Piping _Shu ters Windows/Doors
❑ a
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 190 S . Ft.of Fir t Floor:
Cost of Construction:$\ ���� UtilitiestSewe Septic Building Height:
OWNER/LESSEE- CONTRA OR:
Name WYNN BUILDING CORP Name: PATRICK DIFRANCESCO
Address:8000 S. US 1 Company: RI-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: 772461-0993
E-Mail: Phone No. OFFICE 772461-0993 CELL 772-216-7780
i
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or toL my License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commencernei it is required.
SUPPLEMENTAL CONSTRUCTION LIEN-LAW INFORMATI N.: .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: FL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDIN13 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 Counter makes no representation that is granting a permit will authori 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 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 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 Commenci ment may result in your paying twice for
improvements to your property.A Notice of Commencement mut be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,const It with lender or an attorney before
commencing work or recording our Notice of Commencement
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF LORIDA
COUNTY OF 5-r-- Gi COUNTY OF
I .
The forgo instrument was acknowledged before me Theforgo instrument was acknowledged before me
this tr day of Su..s 20 A by this I S a of
P:wk�C,s CAP
(Name of person acknowledging) (Name of pe son acknowledging)
(Signature of Notary blic-State of Florida) (Signature o Nota b/lic-State of Florida)
Personally Known�OR Produced Identification Personally Kpown >/ OR Produced Identification
Type of Identification Pro Type of Iden ific c
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DOROTHYANN BASKIN
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Commission No. '• - MYCOMt�Iff�N#GG 030145 Commission o DOROTHYANN BASKIN
COMMISSION W190&145
a= EXPIRES:October 2,2020 �•, :; EXPIRES:October 2,2020
i, Bonded Thru Note PuNir:Underwriters •�;^.-�•'i,' ®Ontted Tnm Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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