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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ©� 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7868 HORNED LARK CIR Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 60 LOT 1 (OR 3806-520) Property Tax ID#: 3424-702-0068-000-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION `OF WORK: 001 I f CONSTRUCTION INFORMATION: - itiona work toe e orme under t —checkispermit a appy: HVAC E] Gas Tank Gas Piping _Shutters []Windows/Doors 11 Electric ❑ Plumbing Sprinklers E]Generator E] Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ 5834 Utilities:cn Sewer Septic Building Height: OWNER/LESSEE: , . .,.' CONTRACTOR: Name Kenneth W Hallford Jr Jill E Hallford Name: RICHARD LEVINSON Address:7868 Horned Lark CIR Company: SERVICE AMERICA City: Port St Lucie State:FL. Address: 2755 NW 63RD CT Zip Code: 34952 Fax: City: FT LAUDERDALE State:FL Phone No.772-359-8482 Zip Code: 33309 Fax: 954-977-3591' E-Mail: Phone No. 954-979-1100 Fill in fee simple Title Holder on next page (if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM from the Owner listed above) State or County License: CAC014619 If value of construction is$2500 or more,a RECORDED Notice of commencement is required. .ztit�e770-7 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: - DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 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 Comment may result in your paying twice for improve s o you property. A Notice of Commence nt ust b recorded and posted on the jobsite before th irst i spe ion. If you intend to obtain financ' g, co s th lender or an attorney before commen 'n w r cordin our Notice of Commen em s Signature of Owner/ ee/Contractor as Agent for Owner icense Holder STATE OFF STATE OF FLORt`D � f COUNTY OF ��Q'� COUNTY OF o The forgoing instr nt was ackknof�ledged before me The forgoing instru ent was ackn wledged before me thisZ day of U6T 20 h by this �ay of 20 17 by I r7 ✓� �=i�--�✓li�LS®✓� (Na a of pe n a owledging) (N me of pe' o acknowle ging) (Sig re f�rVlic-State of Florida) ig ture f ota Public-State of Florida) Personally Kno Personally Known OR Produced Identification Type of Identif ca '® `' uced Sheneka Hardy Type of Identification Prod.. NotaryPublic-StateofFlorida I P I ', Sheneka Hardy Commission N Com missioq§Ga)33870 Commission No. r 0 Notary ¢r State of F:. n Qc Commission#GG 3:• Expires 9/27/2020 9 Expires 9/27/2 .2,', Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS