HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE � (INFO !MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !fog-- �/
Date: l I I- ` I I? Permit Number: f o%' Q34'
COU NTY
Ir L O R L D A- Building Permit Application
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: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 3 HUARTE
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 24' Back: 44' 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 ertormed under this permit—check all apply: r'}
HVAC Gas Tank nGas Piping ( Shutters Q Windows/Doors �J
LElectric 0 Plumbing Sprinklers ri Generator 1-1 Roof
Total Sq. Ft of Construction: 200 S . Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 Utilities: Sewer ESeptic Building Height:
OWNER/LESSEE: 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 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: Phone No. (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 Commencement is required.
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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 your Notice of Commencem-•t.
1 ^ ,ta ri ,
Signature of Owner/Agent/Lessee Sig'ature of ontractor/LicenseHolder\
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF gr. (.c,e-7 COUNTY OF "—Le cir
The for�p�ng instr ent was acknowledged before me The forgoigg instru ent was acknowledged before me
this/a`7 day of , 20 l8by this aay of ,2041 by
f7),4-r/4rcz4) CYC. Ii')Y,v njr /a/1-77e1 ct I F24,4- JCe
(Name of person acknowledging) (Name of person acknowledging)
a.4....0,4Aa....w,..... (A.6,...x...k... NOADA.Z 1 a-Yu-A &Ai...
(Signature of Nota P blit-State of Florida) (Signature of Notary •clic-State of Florida)
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. =z°.""pUQ% COMMISS a MK Commission 0 Commission No Ss0.1V1!,,
o ** �•: COMMISSION
,: _ _ !; MY COMMISS G 030145 i•= IA MY COMMISSION GG 030145
.rte�;;. EXPIRES:October 22020 .?�= EXPIRES.October 2,2020
- ��•s, ::.1',i Bonded Thrt,NO*Pub&UrPkvwiiters ` % .'._ Bondetl Thk Nelery`PubIh.Untlanmlers
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS