HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l ��CJ Permit N
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Building Permit Applicati JAN!3 0,2019
Planning and Development Services rm i tti n
Building and Code Regulation Division g Department
2300 Virginia Avenue,Fort Pierce FL 34982 t. LU CI CQ U n ty FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial r
PERMIT APPLICATION FOR: Aluminum with concrete
-PROPOSED IMPROVEMENT LOCATION..-
Address: 39 LA VILLA WAY
Legal Description: SPANISH LAKES COUNTRY CLUB
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: OMAR
Setbacks Front 21 Back: 24 Right Side: 15 Left Side: 15
DETAILED-DESCRIPTION.OF WORK:
INSTALL A NEW 9 FT X 18 FT SCREEN ROOM ON BACK PATIO UNDER EXISTING ROOF. ON
EXISTING CONCRETE.
-CONSTRUCTION INFORMATION:_ , ,.
Additional work to be nertormed under this permit—check all appy:
OHVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator 0 Roof
Total Sq. Ft of Construction: l to,. S . Ft. of First Floor:
Cost of Construction:$ / n L C, �® 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: 772461-0993
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: 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 1 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
comrrignicing work or recording our Notice of Commencement.
S gnature o er/Agent/Lessee Agifalureon ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 14 by this day of ,20_U by
rnNMky_ NPR �l
(Name of Person acknowledging) (Name of i4brson acknowledging)
C,Vn5LA�' I CVLXA21�'
(Signature of Notary lic-State of Florida) (Signature of Notary blic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Pr
����p,�., CHEYE RAULERSON ,�``Pap��, CHEYENNE RAULERSON
Commission No. .gad' �B, Commission No. ;=e,P e�� State o(sWpa-Notary Public
tate of �a-Notary Public Commission GG 164911
°• •= Commission # GG 164911 ZZ
fission Expires
My Commission Expires
December 03. 2 1
Revised 07/15/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS