HomeMy WebLinkAboutBuilding Permit Application11 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�yy��//'' f
Date: Permit Number: Qooq
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
PERMITTYPE:I scr'p-cy) rw ` X
PROPOSED IMPROVEMENT LOCATION: Savanna Eagle's Retreat LLC
Address: 7804 McClintock Way, Port St Lucie - lot 7512
Property Tax ID p: 3424-800-0128-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Build.gasegeseed-screen room on new mobile home
CONSTRUCTION INFORMATION:
nstalled by others
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: $ OLD Utilities: —Sewer _Septic
Lot No. 11
Block No. 72
Windows/Doors
Roof Pitch
Building Height:
"OWN ERAESSEE:Savanna Eagles"Retreat LLC
CONTRACTOR:'
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. I'/I/�.
,SUPPLEMENTACCONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable
N a me: Frank Cieaton - Davis & Cleaton
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: lot sunWe un Rd, Ste 109
Address:
City: casselbeny State: FL
Zip: 32707 Phone407-539-2353
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conl lict 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 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."
Sign u 6POwneirl Lessee/Contr ctor as Agent for Owner
Si ature of Contractor/License alder
STATE OF FLORIDA
STATE OF FLOR�DA n
COUNTY OF Seminole
^
COUNTY OF �EIMA
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 31 day of March 20X by
this 31 day of March 20 X by
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
CW A ccock
m ;�A
(Signature of Notary Public- S
T;�:ot�.•. MUDDY
ig
ature of Notary Pc-
ubli
.;;;...6',•., DY L. DAUGHERTY
Commission No. GG313218
;8�"•"••k', sslan#GG313218
.; .1(g�
Ex9p Is July 17, 2023
-Com
''�` c I nkGG313218
ission No. GG313218 qq�� i�p
" .o; ExpiNs Illy 17, 2023
","'o:
"�:;t{h•,• Bonded Thru Troy Fain lnsursnce 80
857019
i;?�` Bonded ThruTray Fain Insurance 800-3
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. y i/ ay