HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number: HE-!)
-!) lP 6 j
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
PERMIT APPLICATION FOR: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION: =
Address: 19 FLORIDA WAY
Legal Description: ST.LUCIE GARDENS
Residential X
Property Tax ID #:3414-501-1701-000-9 Lot No.
Site Plan Name: LINDA EMSKAMP Block No.
Project Name: LINDA EMSKAMP
.Setbacks Front Back: Right Side: Left Side:
FDETAILED'
DESCRIPTION OF WO_RK:-
INSTALL A NEW 10 FT X 20 FT SCREEN ROOM ON BACK PATIO. UNDER EXISTING ROOF
;ALL ON EXISTING CONCRETE. (INFILL) C.B.S HOUSE
CONSTRUCTION_ INFORMATION:
itiona work to e e orme undert is permit — c he,,a
RHVAC 0 Gas Tank ❑Gas Piping
apply:
Shutters
Q Windows/Doors
i
El Electric El Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 200
S . Ft. of First Floor:
Cost of Construction: $ 1200.00
Utilities:cnSewer
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: 6006 HICKORY DR.
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
,Phone No. 772-828-5516
Zip Code: 34982 Fax: 772-461-0993
i E-Mail:
Phone No. OFFICE 772-461-0993 CELL 772-216-7780
1
'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
it value of construction is 525UQ 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: 6006 HICKORY DR.
Address:
City: FT.PIERCE State: FL
City: State:
Zip: 34982 Phone: 772-461-0993
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
beforePe first inspection. If you intend to obtain financing, consult with lender or an attorney before
commepicing werk or recording vour Notice of Commencement,.-7
of er Agent/ Lessee
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF�a - \_�COUNTY OF 'A-. Wit✓
The forging instrum�ent was acknowledged before me
this Z0day of l^CCPa( 20 Eby
QUV>)Cr,,-bn
ame ot person acknowledging)
nit of No u - State of Florida )
The forgoing instrument was acknowledged before me
this day of O'�� , 20_A by
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type'of Identification Produced I Type of Identification Produced -
Commission No.
Revised 07/15/20
CHEYENNERAULERSO
State of Florida -Notary Publ
My Commission Expires
December 03. 2021
Commission No.
HEYENNERAULERSO
Commission N GG 164911
My Commission Expires
®eoomber 03. 2021
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