HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED
Date: P rmit Number:
.r_. _ _` RECEIVED
lElIg
Building Permit App !cation A) 121018
I Planning and,Development Services Permitting Department
Ieuilding and Code Regulation Division St. Lucie county
'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: . �M �`c` k
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: ys` Right Side: Left Side:, ` kA t
DETAILED DESCRIPTION OF WORK:
INSTALL A NEW 10 FT X 19 FT SCREEN ROOM ON CB HOUSE. UNDER EXISTING ROOF.
ION EXISTING CONCRETE.
CONSTRUCTION INFORMATION:
Additional wor to be nprtormed under this permit—check a a ply-----
HVAC Gas Tank ❑Gas Piping 1:1S utters Q Windows/Doors
LlElectric 0 Plumbing O Sprinklers FIG nerator Roof
Total Sq. Ft of Construction: 190 S . Ftof First Floor:
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Cost of Construction:$� 4 Utilities: Se er E]Septic Building Height:
OWNER/LESSEE: CONT ACTOR:
,Name WYNN BUILDING CORP Name: TRICK DIFRANCESCO
Address:8000 S. US 1 Compan : TRI-COUNTYALUMINUM,INC
City: PORT ST LUCIE State:FL Address: 5512 SEAGRAPE DR.
Zip Code: 34951 Fax: City: FO T 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 Commence ment is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO _
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Addlress: Address:
City. State: FL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDINE 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 ermit.
St.Lucie County makes no representation that is granting a permit will authoriz thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws r and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your Jeed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree tha 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 a cessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencf 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, consult with lender or an attorney before
c!ommencink work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Sig ature o Contractor/License Holder
STATE OF FLORIDA STATE OF I IDA
COUNTY OF COUNTY F i /..ca c,e
The forgoing instrument was acknowledged before me The forgoin 7,instrument was acknowledged before me
thisRDof :Gc�r 20�by this� y of ✓ l�.J� ,20Lgby
I��4-rrhl�••� �_Y t,E GU Yn�,N EI CU �i�R NCe S fro
(Name of person acknowledging) (Name of person acknowledging)
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i(Signature of Notary lic-State of Florida) (Signature f Notary lic-State of Florida)
Personally Known OR Produced Identification Personally nown 4"� OR Produced Identification
ype of Identification Produced Type of Ide tification Produced
:I;y ., DOROTHYANN ;,;:;'
Commission Ei�' Commissio No. t '•.,, OROTHYA KIN
: MhHSSION#� 03145 MY COMMISSION#GG 030145
�• EXPIRES:October 2,2020
onded i'hru Notary public Underwrilers
Revised 07,/15/2014
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