HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSTBEBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �- 1 O Permit Numb e • � �-
LgLv R E C. If Eg 0=D
Building Permit Application SEP 17 2018
Planning and Development Services
Building and Code Regulation Division Perm 1 tt i n 9 D e o e rt t e n t
2300 Virginia Avenue,Fort Pierce FL 34982 I •'�.. � I C i. CO u n t)1 r FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 14541 DALIA AVE
Legal Description: 0634 39 THAT PART OF SEC AS SHOWN IN OR 2380-1934 BEING LOT 14541 (BLK27 LOT 15)(0.13
AC-5,663 SF)OR 4172-2875
Property Tax ID#: 1306-501-0426-000-2 Lot No.14541
Site Plan Name: HUNT Block No. 27
Project Name:
Setbacks Front 31' Back: 46' Right Side: 15' Left Side: 17'10"
DETAILED DESCRIPTION-OF WORK:
INSTALL A NEW 10 FT X 20 FT SCREE ROOM ON C.B.S HOUSE UNDER EXISTING ROOF
ON EXISTING CONCRETE. ; )
CONSTRUCTION INFORMATION: _
Acid itiona I work to be nprtormed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric Plumbing Sprinklers MGenerator Roof
Total Sq. Ft of Construction: 200 S Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: Sewer 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: TRI-COUNTYALUMINUM,INC Name:
Address: 3729 ST.MARKS DRIVE Address:
City: FORT PIERCE FL, State: FL City: State:
Zip: 34982 Phone: 772-218-7780 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
comnncingAvgrk or recording our Notice of Commencement.
Si nature of Owner/Agent/Lessee S nat e o ontractor/License Holder
STATE OF FLORI c STATE OF FLORIDA-
COUNTY OF_ alCie _ COUNTY OF
The fpfgoing instrwnerltwps acknowledged before me Thef9;90ing instru nt sack owledged before me
this YI(fin day of 14 by this day of QoA 20_1A by
i
(Name of person acknowledging) (Name of person acknowledging)
ry o ..' Q 22z��== Oq 0
Ignature of NotaqPublic-SWe of Florida) ( Ignature of Notary Public- a of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. .r.� Commission No.
1;owe, CHEYENNE RAULERSON ,O,PRY CHEY NNE RAULERSO
•'�` 4% r Public _i n,State of Florida-Notary QG 164931
-ubl
GE Commission M GG 164911 osc My Commission Expires
,+ ��= My Commission Exp.res ' ni�� December 03, 2021
Revised 07/15/20 '.,? ,• December 63, 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS