HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��' � 1
RECEIVED
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Building Permit Ap lication AliG�21 2010
Planning and Development Services °prmitting Department
Building 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: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 39'CALLE DE LAGOS
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 30' Back: 22' Right Side: 13' Left Side: 26'
DETAILED DESCRIPTION OF WORK:
10'X 20' SCREEN ROOM UNDER EXISTING ROOF ANE ALL ON EXISTING CONCRETE
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all apply:
HVAC Gas Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 S . Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 UtilitiesIlSe er OSeptic Building Height:
OWNERAESSEE: CONT ACTOR:
Name Wynne Building Corp. Name: PATRICK DIFRANCESCO
Address:8000 South US Hwy. 1 Suite 402 Compa y: TRI-COUNTY ALUMINUM
City: Port St. Lucie State:FIL Address 3729 ST. MARKS DR.
Zip Code: 34952 Fax:(772)878-7656 City: FC RT PIERCE State:FL
Phone No.(772)878-5513 _ Zip Cod : 34982 Fax: (772)461-0993
E-Mail: Phone o. (772)461-0993
Fill in fee simple Title Holder on next page(if different E-Mail: isapat1 @yahoo.com
from the Owner.listed above) State or ounty License: 24444
If value of construction is$2500 or more,a RECORDED Notice of Commenc ment is required.
U
SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMAT.I N
DESIGNER/ENGINEER: Not Applicable _
_ pp MORTG GE COMPANY: Not Applicable
Name: Name:
Address:
Addres
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
I certify that go 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,byla s or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review yoi ir deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree t iat I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lu ie County Amendments.
The following building permit applications are exempt from undergoing a ful concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms anc accessory uses to another.non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commer cement 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, cor suit with lender or an attorney before
commencing work or recording our Notice of Commence ent
Signature of Owner/Agent/Lessee Signature of ont ctor/License Holder
STATE OF FLORIDA STATE F FLORIDA
COUNTY OF S7-, COUNTY OF 5-r-" Crc
The forgoing,instrument was acknowledged before me The forgo g instrum nt was acknowledged before me
this ay of &.w v T . 20�by this� ay of 20-il by
G c. o
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota y ublia c-State of Florida) (Signatu of Nota y ublState of Florida)
Personally Known 'IXOR Produced Identification Personall Known V/ OR Produced Identification
Type of Identification Produced Type of I entification Produced
DOROTHY ANN BASKIN
•,a �:?:B�h.: 7tx!
DOROTHYANN B I
Commission No. YCOA4MI�0N#GG 030145 Commiss on � )EXPIRES:October 2,2020 Mm111SSI0N#G �45
Thru Nota Public Undenvtilers EXPIRES:October 2,2020
•-
41u NN
Revised 07/15/2014
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