HomeMy WebLinkAboutBuilding Permit Application IL
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ql
Date: Permit Number:
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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: 14520 DALIA
Legal Description: 6/7 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
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Project Name:
Setbacks Front 34' Back: 24' Right Side: 21' Left Side: 14'
DETAILED DESCRIPTION OF WORK:
10'X 20' SCREEN ROOM UNDER EXISTING ROOF AND ALL ON EXISTING CONCRETE
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CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit—check a appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft'of Construction: 200 Sq. Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 Utilities: 0Sewer 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
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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-County Aluminum Inc Name:
Address:3729 St.Marks DR. Address:
City: Ft.Pierce FI State: Fl. City: State:
Zip: 34982 Phone: 772-216-7780 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address: i 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,l 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
commencin j work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Sig ature 6f-contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. I ic, COUNTY OF Srr.�uci�
The forgot g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this `714ay of fV0V&_n147L. 20_!S�by this 2��flay of Il ri,(���L ,20i by
rn!T i &—w ��ifL-C VNIyG�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ubli/c-State of Florida) (Signature of Nota blit-State of Florida)
Personally Known v OR Produced Identification Personally Known OR Produced Identification
Type of Identifi d Type of Identifi •,, DO 0 HYANN BASKIN
,a tri•, DOROTHYANNBASKIN
Commission No = MMISSI01030145 Commission No : MY COMMISSION �0145
�o;F EXPIRES:October 2,2020 ;;,F
•c RES:Octob r 2 20
P,. ?F Bonded thio Notary Public Underwriters
•. 7F FLS• fKICd ThrU Notary Public iJndervmters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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