HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • Permit N RECEIV**�
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Building Permit Applicati nEL
Planning and Development ServicesBuilding and Code Regulation Division Perent
2300 Virginia Avenue,Fort Pierce FL 34982 StFL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:--
Address:
OCATION:Address: \ 3>(.o
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: _73 O� Right Side:\'I, (ole Left Side:
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 to be nPrformed under this permit–check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers FI Generator FIRoof
Total Sq.Ft of Construction: 190 Sq. Ft. of First Floor:
Cost of Construction:$� � — Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WYNN BUILDING CORP Name: PATRICK 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.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION.-
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 authorize 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 concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commenceme
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST COUNTY OF < t44"i
The forgoing instrument was acknowledged efore me The forgoi g instrument was acknowledged before me
this 1 �'day of ?"u y . 20_T by this ay of �Gt C �I ,20_I by
I k flgcW L yc'r N Y/Vyy> �f17Y2 Iyk U/r-4 -N c e s ca
(Name of person acknowledging) (Name of person acknowledging)
&'�
(Signature of Notaryblic-State of Florida) (Signature of Notary blic-State of Florida)
Personally Known �OR Produced Identification Personally Known OR Produced Identification
Type of Identification Pro 1r&O, Type of Identification Produced
DOR
OTHYANN BASKIN Ne°"
Commission No. �" my n-OMMISS169,13t 030145 ` Commission. •"r' C10010"'HYANNBA
;vR �aS
EXPIRES:October 2,2020 =, t` MY COMMISSION#GG 036145
goodgd T Nota Public Underwriters {
Wded Thru Notary Public Underwriters
Revised 07/15/2014
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