HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
(nT
Q a o a o o Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: MasonryWall
PROPOSED IMPROVEMENT LOCATION:
Address: 1000 Savanna Club Blvd
Property Tax ID #: 3426-700-0002-000-0 Lot No.
Site Plan Name: American Legion Post 318 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK;
129 feet of new CBS Wall
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 12,500
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/L SSE>=:
,.. ..
W A F
a
Name American Legion Post 318
Name: Michael DiGiacomo
Address: 1000 Savana Club Blvd
Company: Pure Building Corp
City: Port Saint Lucie State: _
zip Code: 34952 Fax: 772-878-0625
Phone No. 772-878-0665
Address: 9773 SW Santa Monica Dr
City: Palm City State: F
Zip Code: 34990 Fax:
Phone No 772-285-8666
E -Mail: darylbowie69@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail mike@platinumconstructlon.org
State or County License CGC062943
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Sworn to (or affirmed) and subscribed before me of
Address:
� Physical Presence or _ Online Notarization
this �day of 7QrJG 2020 by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Produced-
roduced
Address:
:r ryt, notary Public State M Florida
(Signattur f Notary .Xg�!a mfYfQ'AnWiM oo rG 122492
Wim° Expires 11/ 912021
City:
Commission No. a
City:
REVIEWS
Zip: Phone:
ZONING
Zip: Phone:
PLANS
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before co mencing work or recording our Notice of Comrg4ncement.
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Signature o�r/ Lessee/Contractor as Agent for Owner
SignNture Con se Holder
STATE OF FLORIDA
COUNTYOF S7, CjCI(.,
STATE OF FLORIDA
COUNTY OF Sr, Cut: le -
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Y- PF ysical Presence or Online Notarization
this �day of �vr�G 2020 by
� Physical Presence or _ Online Notarization
this �day of 7QrJG 2020 by
Mt(WAEL, 11/11Acuw-o
M,cIkAe-t- lI t60(r,4N
Name of person making statement.
Name of person making statement.
Personally Known ,�- OR Produced Identification
Pers n... r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced-
roduced
NotaryKubl"/w State of FloridaIL
Notary
:r ryt, notary Public State M Florida
(Signattur f Notary .Xg�!a mfYfQ'AnWiM oo rG 122492
Wim° Expires 11/ 912021
(Signatur f Notaataln irde '�21
'>orN
Commission No. a
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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