HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1Y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: MD.- GV
DEC 0 7 ?010
Permitting De
Building Permit Application St•Luciecou t),
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 Ill
I PROPOSED IMPROVEMENT LOCATION: Cr AnIhlMn III
Address: 162 MEDITERRANEAN NORTH BY
Legal Description: ST.LUCIE GARDENS bit.Lucie County
Property Tax ID #: 3414-501-1701-000-9
Site Plan Name:
Project Name:
Setbacks Front 31' Back: 40' Right Side: 12' 1/2" LeftSide: 12' 7"
Lot No.
Block No.
DETAILED DESCRIPTION/OF WORK: / III
INSTALL A NEW 12 FT X 22 FT ALUMINUM CARPORT PAN ROOF, 12 FT X 19 FT SCREEN
ROOM WITH PAN ROOF, 12FT X 19 FT BACK PATIO PAN ROOF. ALL ON EXISTING
CONCRETE. ✓'
CONSTRUCTION INFORMATION: III
onaiW0FK100e1JeFl0FMe0 unuer
HVAC Gas Tank
Electric 0 Plumbing
tms
❑Gas
permit— cnecK all apply:
Piping _ Shutters
Sprinklers Generator
0
Windows/Doors
Roof
0
Total Sq. Ft of Construction:
(� +
720
Cost of Construction: $ ```1 , ZS l/7CJ �
S Ft. of First Floor:
Utilities:0Sewer OSeptic
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
Zip Code: 34951 Fax:
Phone No.772-828-5516
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
E-Mail:
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:
DESIGNER/ENGINEER: _ Not Applicable
Name: SUNCOASTENGINEERING LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 136305BTH STREET NORTH SUITE 101
Address:
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-532-WW
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/ Agent Lessee
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `si iIw C cc� COUNTY OF
The forgoing instrument was acknowledged efore me The forgojng Instrument was acknowledged before me
this Ztlay of &2n Lf0nAeX . 20 by this �Oay of lwio V&'m dii X 20_*by
Os►-g7*e n) Lycg- citJy r;r.t- �A+-�t Grc Ibt F�eANcersrA
(Name of person acknowledging) (Name of person acknowledging)
ysao- ^+
(Signature of Notary q�lbllc- State of Florida) (Signature of Notary lic- State of Florida )
Personally Known " OR Produced Identification Personally Known e-' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ••.:"��_✓••.
ROTHY NN BASKIN
Commission No.
e's;`: ';
DOROTHYANN BASKIN
MYCOMMISSION#a 0I
MY COMMISSION# GG 030145
,=
o r2,2020
Bonded Thru NotaryPudk UMenvnlers
pFi
'E?°„::••
co r
8onded ThN Notary Public UmWwiI:ef3
Revised 07/1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
`
IWI460
J