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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO E E ACCEPTED
Date: Permit Number: ®�I
RECEIVED
Building Permit Application AI113i•21 1010
Planning and Development Services
Building and Code Regulation Division Permitting Department
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: 22 DANZAR
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 36' Back: 17' Right Side: 18' Left Side: 15'
DETAILED DESCRIPTION OF WORK:
10' X 20' SCREEN ROOM UNDER EXISTING ROOF AND ALL ON EXISTING CONCRETE
CONSTRUCTION INFORMATION:
Additional work to be nerformed under tispermit—check all pp y:
HVAC Gas Tank ❑Gas Piping _InShutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator El Roof
Total Sq. Ft of Construction: 200 Sq. Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 Utilities: 0 SE we ElSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: PATRICK DIFRANCESCO
Address:8000 South US Hwy. 1 Suite 402 Company: TRI-COUNTY ALUMINUM
City: Port St. Lucie State:FL Addres : 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: Phoneo. (772)461-0993
Fill in fee simple Title Holder on next page(if different E-Mail: Iisapat1@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT
DESIGNER/ENGINEER: _Not Applicable MORTE AGE 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 auth rize 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 that 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 icement 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 Commencement
Signature of Owner/Agent/Lessee tSigna4C6or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUN OF S-
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i
The forgoing Jnstrument was acknowledged before me The forgo ng instrument was acknowledged before me
this lay of A-U G•s.t ST . 20 11? by this ay of 4—dGc4& 7 ,20_f -by
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C /(— b0 y U yu A (C dr �/ Fg Ari cc
(Name of person acknowledging) (Name of person acknowledging)
D o4(Signature ofi.Notary u lic-State of Florida) (Signature of Notary lic-State of Florida)
Personally Known 7 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. '2`• YCOMM@N#GG 030145 Commissi n No. '��"''�:�: �
rt; MMISSIO 30145
s :� EXPIRES:October 2,2020 f'��:F o;S EXPIRES:October 2.2020
80
%',110-Vo`:•' Puhh,1 inderwiiters 'a
Revised 07/15/2014
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