HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rl /
Date: Permit Number:
Building Permit Application
Planning and DevelopmentSeivices
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: 8 GALERIA WAY
Legal
ST.LUCIE GARDENS
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Property Tax ID#: 0 QZQL — 0 ON A
Site Plan Name:
Project Nam_ e:
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Setbacks Front �t 3i r10 Back:'\i� Right Side:\"1 �s LeftSide:
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Residential x
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Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
INSTALL A NEW 11 FT X 19 FT ALUMINUM CARPORT PAN ROOF. ALL ON EXISTING
CONCRETE. SCANNED
BY
CONSTRUCTION INFORMATION:
itiona wor to e e orme under ttfls permit— check all that apply:
❑HVAC Gas Tank ❑Gas Piping ❑ _ Shutters Windows/Doors
11 Electric 0 L-] Plumbing Sprinklers Generator EIRoof
Total Sq. Ft of Construction: 209 S Ft. of First Floor:
Cost of Construction: $ \ .��� _ , Utilities* Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WYNN BUILDING CORP
Name: PATRICK DIFRANCESCO
Address:8000 S. US 1
City: PORT ST LUCIE State:FIL
Zip Code: 34951 Fax:
Phone No.772-828-5516
Company: TRI-COUNTY ALUMINUM,INC
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: SUNCOAST ENGINEERING LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 13630 58TH STREET NORTH SUITE 101
Address:
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-632-90oo
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
Signature
Lessee
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Cr, c cy COUNTY OF W, 1,A4 G,-C
The forgojng instrument was acknowledgedefore me The forgo��'ppgg instrument was acknowledged before me
this27 dayof_ Ndoi.*M687L 20 1 by this�Fayof A), UF7n,BG-7L, 20�by
P1PA-WH&y b-1W W y�'I ivc= �PF17321 c<c Di /5P. 'Cp-cc'D
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota Public- State of Florida) I (Signature of Notar ublic- State of Florida )
Personally Known r/ OR Produced Identification
Type of Identification Produced
Commission No.
EXPIRES: October 2, 2020
Revised
Known OR Produced Identification
Type
Commission No :•.`1if� Yttiihs OOROTHYAN AS N
MTVMMISSION 145
R° ", EXPIRES: October 2,2020
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