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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L Date: Permit Number: tit :- R%K .1 ----- ___ Building Permit Appli ation `' ? Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lunt: r_ {i V t ° L Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential --r- Address:.78U4 McClintock Way, Port St Lucie - lot 7512 Property Tax ID #: 3424-800-0128-000-0 Site Plan Name: Project Name: on new mobile home installed u others Lot No. 11 Block No. 72 CONSTRUCTION; INEORIVIATION "„';! 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: 696 Sq. Ft. of First Floor: Cost of Construction: $JM Q6 Utilities: _ Sewer . _ Septic _ Windows/Doors Roof Pitch Building Height: OWNER/LESSEE;'SavannadEagles, Retreat L°LC t;'C©NT -TfiOR Name Savanna Eagles' Retreat LLC Name: Roger W Shull Address:27777 Franklin Rd, Ste 200 Company, Shull Construction of Orlando, Inc. City: Southfield State: _ Zip Code: 48034 Fax: Phone No. Address: PO Box 621851 City: Oviedo- State: FL Zip Code: 32762-1851 Fax: 407-365-6278 Phone No 407-365-4078 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed 'above) E-Mail mel@shullconstruction.com State or County License CRC052310 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required. SUP,PLEMEN,TAL CONSTRUCTION,LIEN'•LAW INFq,RMA4TI0N ; DESIGNER/ENGINEER: _ Na me: Frank Cleaton - Davis a Cleaton Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address:101 Sunnytown Rd. Ste foe City: Czsselberry Zip: 32707 Phone 401-53e.2353 State: FL Address: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: 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. no :e the permit holder to build the subject structure or and covenants that may restrict or prohibit such 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_" Signpfufe c7 caner/ Lessee/Contr ctor as Agent for Owner Sig�ure of Contractor/License older STATE OF FLORIDA COUNTY OF Seminole STATE OF FLOR A COUNTY OF I5VttjL The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledgedbefore me this 31 day of March . 20X by this 31 day of March . 20�OLby Roger W Shull Roger W Shull Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced r,.aa(j� C l U t" C2£�j\ �( =J 0_0 (Signature of Notary Public- S lg ature of Notary Public- N'>''•. ME ODYL,DAUGHERTY ;m. •.. DYL.DAUGHERTY Commission No. GG313218 .I Q��{issldn#GG313218'' July 17, 2023 Corn Ission No. GG313218 C I �n#GG313213 .`. ' 2023 p?xpTrAs Exlr�es��8ly 17, .•`�`??%;°•"•'` `•..,^tt�'` Bonded Tlsu Troy Faln tmurenn 80 5r1019 Bonded ThneTroy Faln lneurence SOM REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. 21 y/ 19