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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED �1 ^ Date: P rmit Number: Building Permit App ication 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 '�sn Back: VS Right Side: ®St Left Side: \'S DETAILED DESCRIPTION OF WORK: INSTALL A NEW 10 FT X 19 FT SCREEN ROOM ON CEI HOUSE. UNDER EXISTING ROOF. ON EXISTING CONCRETE. CONSTRUCTION INFORMATION: ° Additional work to be ertormed under this permit—che—cR all apply: HVAC Gas Tank ❑Gas Piping _S Q utters Windows/Doors Electric 0 Plumbing Sprinklers E Generator 1:1Roof I Total Sq. Ft of Construction: 190 S of irst Floor: Cost of Construction:$,�7•'.2D CS Utilities. Se er ElSeptic Building Height: OWNER/LESSEE CONTRACTOR: Name WYNN BUILDING CORP Name: PPTRICK 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: FO T PIERCE State:FL Phone No.772-828-5516 Zip Code: 34982 Fax: 772-461-0993 E-Mail: Phone N D. 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO DESIGNER/ENGINEER: _Not Applicable MORTGA13E COMPANY: _Not Applicable ' Name: Name: Address: 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: 1 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 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�eed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree than 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 cl 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 with lender or an attorney before commencingwork or recordingour Notice of Commencement Signature of Owner/Agent/Lessee Signature o Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S - LIU c<E COUNTY F SrQ The forgoi g instrument was acknowledged before me The forgoir� instrument was acknowledged before me this.-!:9 of �u ,s . 20 Z by this y of �u.�F ,20 ' by Y C-E N VN Yy E 77-H C.F YN N� (Name of person acknowledging) (Name of p rson acknowledging) (Signature of Nota P blic-SState of Florida) (Signature of Notary./lic-State of Florida) Personally Known ✓ OR Produced Identification Personally nown v OR Produced Identification Type of Identificatio i d Type of Ide tificatiopR.r;Qd,��g�l 00►2UTH/IYCCQAN BASKIN `�'�'�, DOROTHYY ASKIN �� COh1h11515fv� GG 030145 Commissio No. '" �= 9iG 030145 Commission No. YCOMMIS is EXPIRES:October 2,2020 �' F:.`, FOon EXPIRES:October 2,2020 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS