HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q
Date: Permit Number: u01U&M
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: CX
Legal Description: ST.LUCIE GARDENS
Property Tax ID#: 3414-501-17017000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side: Xk Left Side: k 31
DETAILED DESCRIPTION OF WORK:
INSTALL A NEW 10 FT X 19 FT SCREEN ROOM ON CB HOUSE. UNDER EXISTING ROOF.
ON EXISTING CONCRETE.
CONSTRUCTION_ INFORMATION: .
Additional work to be nerformed under this permit—check all napply:
HVAC Gas Tank ❑Gas Piping _S utters Q Windows/Doors
11 Electric Plumbing Sprinklers E G nerator E]Roof
Total Sq. Ft of Construction: 19900 SFt. of irst Floor:
Cost of Construction:$ '� . " �5 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNN BUILDING CORP Name: P TRICK 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.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �-�7
Date: ermit Number: (Ion.mm"�
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:
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: Right Side: Left Side: `1 3
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
Additional work toe nertormed under this permit—check all tbat apply:
HVAC 0 Gas Tank ❑Gas Piping _St utters a Windows/Doors
11 Electric 0 Plumbing Sprinklers FIG nerator 11 Roof
Total Sq.Ft of Construction: 190 S . Ft.of irst Floor:
Cost of Construction:
$� ��`� Utilities: Se er Septic Building Height:
OWNER/LESSEE: CONTR CTOR:
Name WYNN BUILDING CORP Name: PATRICK DIFRANCESCO
Address:8000 S. US 1 Compan : 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 lounty License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commence ent 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 BONDING 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 authori a thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaw 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.Luc' County Amendments.
The following building permit applications are exempt from undergoing a fulloncurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and ccessory 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
commencink work or recording our Notice of Commencement,
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S—r- - LIL4- C_cN COUNTY01'. "c t E
The forg,,�g�p�ng instrument was acknowledged before me The forgoin instrument was acknowledged before me
this�`rday of �w„s 20 Eby this��d y of �l�.sE .20 by
(Name of person acknowledging) (Name of p arson acknowledging)
(Signature of Nota li�c-State of Florida) (Signature of Notary P ic-State of Florida)
Personally Known ✓ OR Produced Ide Personally (nown V/ OR Produced Identification
Type of Identifi p;plType of Identification Produced
PRO
MY COMMISSION#GG 030145
Commission No. IRES:Oc(e x,2020 Commissio No,,;' �r?dq'r 00ROTHYANNBQS�eal)
Bonded
ThruNotary Public Underwriters i rz MYCOWISSION#GG 030145
EXPIRES:October 2 2020
Bonded Thru Notary Public Underwriters
Revised 07/15/2014 ---
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