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Date: Permit Number: I DU-L - ( � lv
RECEIVED
Building Permit Application
Planning and Development Services SEP 17 7018
Building and Code Regulation Division Permitting DePartr►+kn.
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 45 GRANDE VISTA
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: 17' Right Side: 115' Left Side: 16'
DETAILED DESCRIPTION OF WORK:
10' X 20' SCREEN ROOM UNDER EXISTING ROOF AND ALL ON EXISTING CONCRETE
CONSTRUCTION INFORMATION:
Additional work to be oertormed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 S . Ft. of First Floor: 200
Cost of Construction: $ 1,220.00 Utilities: Sewer E]Septic 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: lisapatl@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.
If
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 our Notice of Commencement.
Signature of Own /Agent/Lessee Signature of Cont /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S'T- C e COUNTY OF c«
The forggng instrument was acknowledged before me The forg�ng instrum t was acknowledged before me
this�day of L&go .�s--20 19:by this A� ay of 20_A by
l/U YN N E /-H Glc U/
(Name of person acknowledging) (Name of person acknowledging&40�1:L )
... ,c3 a,,," a
(Signature of Nofaiy Public-State of Florida ) (Signature of Notary blit-State of Florida)
Personally Known V-1"OR Produced Identification Personally Known ✓/ OR Produced Identification
Type of Identification Produced Type of Identi
DOROTHY ANN BASKIN
Commission No. s} '•&I; DOROTHY KIN Commission MY COMMISSION o 46ead)45
my MMiSS1030145 EXPIRES'October 2,2020
=? EXPIRES:October 2,2020 50rded Thn,Notary Public Undewnters
Revised 07/1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS