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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: ermitNumber:
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Building Permit Application ,I V%
luilding and Code Regulation n Perrot.anning and Development Services _P5
uc County
BDivision s oSt.�-
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
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PROPOSED IMPROVEMENT LOCATION:
Address: 4 ECUADOR WAY
Legal Description: SECTION 26/TOWNSHIP 36s/RANGE 40e
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front 26' Back: Right Side: 13' Left Side: 21'
DETAILED DESCRIPTION OF WORK:
10' X 20' SCREEN ROOM UNDER EXISTING ROOF AN ALL ON EXISTING CONCRETE
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CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a [napply:
HVAC 11 Gas Tank ❑Gas Piping _ hutters a Windows/Doors
11 Electric El Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 Sq. Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 Utilities:OSewer DSeptic Building Height:
OWNER/LESSEE: CONT ACTOR:
Name Wynne Building Corp. Name: ATRICK DIFRANCESCO
Address:8000 South US Hwy. 1 Suite 402 Compa y: TRI-COUNTY ALUMINUM
City: Port St.Lucie State:FL Address: 3729 ST. MARKS DR.
Zip Code: 34952 Fax:(772)878-7656 City: FORT PIERCE State:FL
Phone No.(772)878-5513 Zip Code. 34982 Fax: (772)461-0993
E-Mail: I Phone o. (772)461-0993
Fill in fee simple Title Holder on next page(if different E-Mail: lisapat1 @yahoo.com
from the Owner listed above) State or County License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commenc ment is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI - N"
DESIGNER/ENGINEER: _Not Applicable MO TG GE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: FL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDI G 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 permit.
St.Lucie County makes no representation that is granting a permit will autho ize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,byla s 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,1 do hereby agree t at I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Luce 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 Commen ement may result in your paying twice for
improvements to your property.A Notice of Commencement m st be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,con A with lender or an attorney before
commencing work or recording our Notice of Commencem t.
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Signature of Ownerl Agent/Lessee Signa ure f Coni—racirorTLicense Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF COLIN OF c,,
The forgo ng instrum nt was acknowledged before me The forgo g instru ent was acknowledged before me
this/`/nay of - 20-!&by this /V ay of S 20_]�(by
l�I��N� �Y� �yNnf� GG6c J lf-.e �vcC Sw
(Name of person acknowledging) (Name of person acknowledging)01�
0Z_,,o4-P,1 Ovvv? 6" D'ol-LIO-PA.,
(Signature of Nota ublic-State of Florida) (Signatu a of Notary lic-State of Florida)
Personally Known v/OR Produced Identification Personall Known OR Produced Identification
Type of Identification Produced Type of I entification Produced
, �.,; DOROTH BASKIN ,�4<,U;''�.---
Commission No. ,•�: Commiss on No. _ <ti Y DOROTHYAfflA (IN
COMMIS GG 030145 ,OMMISSIO #GG 030145
r�=F EXPIRES:October 2,2020 EXPIRES:October2,2020
Revised 07/15 2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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