HomeMy WebLinkAboutBuilding Permit Application 41
fl AIJ NF'PIL)c','�G LE INFG MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
!% Data: Permit Number:
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RECEIVED
Building Permit Application JqN 1 1 2017
Plonning and DevclopmentServices
Building and rode regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Extend
To Select from dropbox, click arrow at the end of line '
PROPOSED IMPROVEMENT LOCATION: .
Address: 8525 Lidflower Court Port St. Lucie FL
Legal Description: Savanna Club_Plat 'Two Blk' 11 Lot 20
PropertyTaxlD#: 3425-702-0059•-000/7 Lot No. 20
Site Plan Name: Savanna Club Block Noll
Project Name:
Setbacks Front c=Zj Back: N Right Side: /0' Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION::
Additional work to be nerformed under this permit—check all
Mutters
apply:
L.J E1HVAC Gas Tank Gas Piping Windows/Doors
Electric F-1 Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,0 0 0 .0 0 Utilities: ❑Sewer Septic Building Height:
OWN ER/LESSEE: :; CONTRACTOR: ..r..
Name •Roleigh- & Gina H:i:q-�ett Name: Jef f Jackman
Address: 8525 LidAlower Court Company;Master Craft: Aluminum Prod.
City: Port St. Lw3ie State:FL Address: 1634 Se :Niemeyer Cir.
Zip Code:34952 Fax: City: Port St. Lucie State: FL
Phone No.315-250-3434 Zip Code: 3.4952 Fax: 335-0860
E-Mail:_ Phone No. _335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: m,a..q ..(-rr-r-afta7 umi n um(damai
from the Owner listed abode) State or County License:. gee 1 31 1 50586 �l
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. T �l
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: c„ncoa }- A�l iimi niim Ell-ginger-in i nrT Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip:T Phone:
I certify that no work or installation has commenced priorto 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 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 lend or an attorney before
commencing work r recording our Notice of Commencement.
s
gnatu 0 see/Agent Si atur of Qcr/LS ATE L RI ST TE O FL
CO O St. Lucie CO Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1—day of January 201-7by this 3 day of January 20'17 by
Jeff Jackman Jeff Jackman
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Floridai.D, M
Sheryl D.ftam On"
Personally Known X OR P E�WPUBUC Personally Known X *E"
SMo
=YW FOR�-
Type of Identification Produced STATE OF FLORIDA Type of Identification Produ
r Comm#FF942382 1/15/ZOZO
Commission No. Sep*lred 1/1&M Commission No.
I
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE W:54 i
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