HomeMy WebLinkAbout05-16-2019(8)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: 8112 LONG DRIVE
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 40 LOT 1
Property Tax ID #: 3425-707-0174-000-4
Site Plan Name:
Project Name: DONOVAN, TIM
Setbacks Front_ Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 1
Block No.
REPLACE EXISTING HVAC SYSTEM LIKE FOE LIKE.,
�j
v Eai wv1 n w uC 11 Vf F t!U unaer inns permit — check all app y:
RIHVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors11
Electric � Plumbing Sprinklers E] Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ E?� Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIMOTHY MICHAEL DONOVAN
a Name: STEVIE SANDERS
Address: 8112 LONG DRIVE
€ Company: STEPHEN K DENNY, INC.
j City; PORT ST LUCIE State: FL
Address: 406 COMMERCE WAY
Zip Code: 34952 Fax:
City: JUPITER State: FL
Phone No, 603-360-4620
Zip Code: 33458 Fax: 561-746-2581
E-Mail:
Phone No. 561-743-9554
Fill in fee simple Title Holder on next page (if different
E-Mail: LSLATER@STEPHENKDENNY.COM
from the Owner listed above)
State or County License: CAC1813800
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER: Not
Name:
Address:
City: state:
ZiP: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: —
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
State:
x Not Applicable
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 sucti
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
CommencinR work or recording our Notice of Commencement.
s
Signature ofOwner/ Lessee/Agent Signature of Contractor ense Holder
STATE OF FLORIDASTATE OF FLC)jpA C
COUNTY OF,,�`�,e�Q e ,; COUNTY OF'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of _ 20 ity this � day of �, 20 � by
AC.tm p
(Name of pertgo` cknowledaxine 1 W ,®
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification X
Type of Identification Produced C)3 Dt4 T 5 (} 0-1 1
45i�t Notary Pubnc- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. RM9
1 No_ (Seal)
State of Florida
r�It on GG 2051387 2 �'+ Morgan P Brantleylie utsed (l, /1SI� 01 no22
e My Commission GG :
Expiras 04 09r2n22
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
_ COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATA _�
COMPLETE
INITIALS
a�wY�
Notary Public State of Florida
=aNr><r rV� Notary Public State of Florida
Morgan P Brantley , Morgan P Brantley
My Commission GG 205138 a • My Commission GG 205138
'?antl" Expires04/09/2022 I i•'?�� Expires04109/2022
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