HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLE"___' FOR APPLICATION TO BE ACCEPTED
Date: `a3,1'\ SCANNED
Permit Number.
n. BY ESt. bwiprnimbiBuilding Permit ApplicationPlanning and DevelopmentServicesBuilding 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: Building II
PROPOSED IMPROVEMENT LOCATION:
Address: 13958 GORRION
Legal Description: 617 34 39 all that part lying northeasterly of 1-95
Property Tax ID #: 1306-111-0001-000/0
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
Setbacks Front36' Back: Right Side: 18' Left Side: 74'
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
10' X 20' SCREEN ROOM UNDER EXISTING ROOF AND ALL ON EXISTING CONCRETE
CONSTRUCTION INFORMATION: III
Muunwnai wurK LU rye enorineu unuer mis permit— cnecK au apply:
11HVAG Gas Tank ❑Gas Piping In Shutters Windows/Doors
11 _
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 200 S Ft. of First Floor: 200
Cost of Construction: $ 1,220.00 Utilities:nSewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name: PATRICK DIFRANCESCO
Address: 8000 South US Hwy. 1 Suite 402
Company: TRI-COUNTY ALUMINUM
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: (772) 878-7656
Phone No. (772) 878-5513
Address: 3729 ST. MARKS DR.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: (772) 461-0993
Phone No. (772) 461-0993
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
Name: Tri. Cwnty Aluminum Inc
Address: 3729 St. Marks DR.
City: Ft. Pierce FI State: FL
Zip: 34992 Phone: 772-21677e0
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 vour Notice of Commencement.
Lessee
Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF ST. L c.t� COUNTY OF !A_ c r r
The forgo ng instrument was acknowledged pefore me The forgping Instrument was acknowledged before me
this It, day of-5'FPTEM SE2c. 20�by thisL'lT�dayof 5r#0r yn6 & .20_Jby
1nA?f * E:rW LyGC iN `/NNe J04-iiI bI A;reH.vCFSW
(Name of person acknowledging) (Name of person acknowledging)
-CV..,,. ,Q af-�
(Signature of NotW Public- State of Florida )
Personally Known '� OR Produced Identification
Type of Identification Produced
Commission No.
EXPIRES: October 2, 2020
Revised 07
Ir�r ow-, Qom, /y "_
(Signature of Notary lic- State of Florida )
Personally Known �XOR Produced Identification
Type of Identification Produced
Commission DOROTHY
EXPIRES: October 2, 2020
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