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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G Iry ` �' Permit Number: N1 d - d 533
- RECEIV--D JUN 2 S 2017
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: Aluminum with concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 3 KASSABBA LANE
Legal Description: ST.LUCIE GARDENS
Property Tax ID #: 3414-501-1701-000-9
Site Plan Name
Project Name:
qt�. L-#�
"NJ/L.
Setbacks Front Back Right Side: 16 FT 5" Left Side:T'
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALL A NEW 12 FT X 18 FT ALUMINUM CARPORT PAN ROOF, ALL ON EXISTING
CONCRETE.
CONSTRUCTION INFORMATION:
Additional work to be oerformed under this permit - check all apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: � S Ft. of First Floor:
,C Cost of Construction: $ ;�. C\L Utilities:11 Sewer 0 Septic
Building Height:
OWNER/LESSEE - NNr
CONTRACTOR:
Name_VVYNN BUILDING CORP
Name: PATRICK DIFRANCESCO
Address: 8000 S. US 1
Company: TRI-COUNTY ALUMINUM,INC
City: PORT ST LUCIE State: FL
Zip Code: 34951 Fax:
Phone No. 772-828-5516
E-Mail:
Address: 5512 SEAGRAPE DR.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-461-0993
Phone No. OFFICE 772-461-0993 CELL 772-216-7780
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
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: I
DESIGNER/ENGINEER: _ Not Applicable
Name: SUNCOASTENGINEERING LLC
Address: 13630 58TH STREET NORTH SUITE 101
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-532-9000
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: - Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
_ Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciniz work or recording vour Notice of Commencement
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOOTID
COUNTY OF 5 i , �-Q- COUNTY OF T
The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me
this day of 20 � by this �l shay of 20_J7 by
� Ar7'Hc-_L-) �`f�6_ iiUY.JN&
(Name of person acknowledging) (Name of person acknowledgingL LcL_" (2, 4� —
)
w
(Signature of N Public- State of Florida) (Signature of Not Public- State of -Florida )
Personally Known �OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced _ ____ Type of Identification Produced,,y
-- fl,
DOROTHY ANN BASr<!ry
r;DOROTHYANNBASKINCommission No. OMMISSI1d��G030145 Commission No.EXPIRES: October 2, 2020 : j; XpIpES: October 2,derwei c e'Th- Nrnanr Puhlir underwriters ._ ;:s ._ YT+na Notary Public Und_��
Revised 07/ 15/2014
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