HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��
Date: % Permit Number: 1% ns "/";
Building Permit App icati011AAY 2 0 2020
Planning and Development Services
Building and Code Regulation Division Per, n2300 Virginia Avenue, Fort [
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial rce FL 34982 Resldentlal
PERMITTYPE: ALUMINUM CARPORT/ SCREEN ROOM EXISTING SLAB
PROPOSED IMPROVEMENT LOCATION:
Address: 15 ALTA LOMA
Property Tax ID #: 3414-501-1701-000/9
Site Plan Name:
Project Name: _
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
INSTALL A 12 FT X 32 FT ALUMINUM CARPORT PAN ROOF. 12 FT X 20 FT SCREEN ROOM WITH
ALUMINUM PAN ROOF. AND A 12 FT X 15 FT BACK PATIO PAN ROOF. ALL ON EXISTING CONCRETE.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 804
Cost of Construction: $ S iy%n —
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNNE BUILDING CORP
Name: PATRICK DIFRANCESCO
Address: 8000 US HIGHWAY 1
Company: TRI -COUNTY ALUMINUM,INC
City: PORT ST.LUCIE FL State: _
Zip Code: 34952 Fax:
Phone No. 772-878-5513
Address: 6006 HICKORY DR.
City: FT.PIERCE State: FL
Zip Code: 34982 Fax: 772-461-0993
Phone No 772-216-7780
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail lisapatl@yahoo.com
State or County License 24444
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Signature of Contrac or/License Holder ---..
DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDAALUMINUMENGINEERING,INC
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 5601 MARINER STREET SUITE 204
Address:
The forgoing instrument was acknowledged before me
City: TAMPA State: FL
Zip: 33608 Phone 813-374-2403
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
Type of Identification
City:
City:
Produced
Zip: Phone:
Zip: Phone:
(Signature of No a Public- Stat
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 2/7/19
Signature of Contrac or/License Holder ---..
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S-r_km c.F
COUNTY OF ST- (.0 C, C'
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this /i day of ✓ji✓11 e!!� 20,W by
this /I day of /)I ✓I `7 .20a—f by
11n9T%t!F21) / yah /Ov"WE
P_�777i?/cA:� �, A�✓c�SGo
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
a Vi ,
(Signature of No a Public- Stat
(Signature of IN II tate of Florida
•Mva(y••„ DOROTHYANN BASKIN.
Commission No. =F• `"'� YCOMM1 #GG 030145
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Commission No. ? T MMISSIONt#'�u930145
`'�` EXPIRES: October 2, 2020
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:o, EXPIRES: October 2, 2020
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• o: ru Note Public Un4envAters
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VEGETATION SEATURTLE
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19