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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 1 , ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �a� �� SCANNED Permit Number: �A d3 — d`��° Q BY TVEID Building, Permit Application Planning and Development Services =County, 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: 14024 CISNE CIR i Legal Description: SPANISH LAKES FAIRWAYS y Property Tax ID #: Site Plan Name: Project Name: =-y4 12� Setbacks Front Back: Right DETAILED -DESCRIPTION OF WORK: ` INSTALL A NEW 11 FT X 22 FT ALUMINUM CONCRETE. CONSTRUCTION INFORMATION: MuuMu1101 wUr K w uC f wrrneu unuer uns perrna — ci 0HVAC Gas Tank ❑Gas Piping 11 Electric 0 Plumbing Sprinklers Lot No. Block No. Left Side: RT PAN ROOF, ALL ON EXISTING apply: 1 Shutters Generator Total Sq. Ft of Construction: PA;L S . Ftl of First Floor: _ Cost of Construction: $ �o�J�� Utilities. sewer ] Septic l 11 Windows/Doors 1, Roof 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: 772-461-0993 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 11 vdiut7 ur conmFutaion is ?ADuu or more, a KCwKueu rvonce or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW -INFORMATION: 1 - DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: SUNCOAST ENGINEERING LLC Name: Address: 13630 58TH STREET NORTH SUITE 101 Address: City: CLEARWATER State: FL City: State: Zip:33760 Phone:727-632-M I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: i Address: City: i City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior do the issuance of a permit. St. Lucie Counter 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 commencing work or recording vour Notice of Commencement. Signature of Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF c cc' The forgoing instrument was acknowledged before me this 2onay of r" A-X c.H . 20 !&by II,, `` I Zvi Fl„) L � C. IFW YNYsG (Name of person acknowledging) Signature of Nota . Pu/blic- State of Florida) I Personally Known V OR Produced Identification Type of Identificati--- - ;GYP"'• DOROTHYANN BASKIN Commission No. ?`1 MY COMMI,0O>91i GG 030145 .. ;� EXPIRES: October2,2020 Revised 07/ 15/2014 Holder STATE OF FLORIDA COUNTY OF S�- L Gr The forgoing instrument was acknowledged before me this 96 day of *" R-4c- N . 20,1,'by & rx i c l< / trgeA-74 CFs c-> (Name of person acknowledging) (Signature of Nota Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION # GG 030145 REVIEWS FRONT ZONING SUPERVISOR i ,PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 1 `l I COMPLETE c�• \ y�12'l INITIALS