HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Na— o 139
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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: 14563 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.
Project Name:
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Setbacks Front 32' Back: 15' Right Side: 21' Left Side: 15'
DETAILED DESCRIPTION OF WORK:
10' X 20' SCREEN ROOM UNDER EXISTING ROOF AND ALL ON EXISTING CONCRETE
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CONSTRUCTION INFORMATION:
AdclitionalworKtobenertormeciun er t is permit—check all appy:
HVAC. 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 S . Ft.of First Floor: 200
Cost of Construction:$ 1,220.00 Utilities:]Sewer 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 S;t. 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: I 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.
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: 772-21677e0 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 nowork or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit 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 Owner/Agent/Lessee 7igture of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF 5r-.,/.� C"r COUNTY OF
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The forgong instrument was acknowledged before me The forgoing instrument was acknowledged before me
this� ay of 4 Jr V a rnl,3e7L, 20Aby this�,0ay of Il)Ol/�Yh/.�Ex.20-4 by
Lc t� .�,v� I° e«� �, ►-��s�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaW Public-State of Florida) (Signature of Nota blit-State of Florida
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Personally Known I/ OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification.Produced
"'•P�'� DOROTH �N►� ASK1N '� � ;''% DOROTHY
Commission No. �•••.'••. G030145 Commission No.
COMMISIft MY �, z CJMMI3310 030145
I :off: EXPIRES:October 2,2020 t:yti° _ �` EXPIRE&October 2,2020
Revised 07,/15
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE" MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS