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ALL APPLICABLE INFO MUST BE CO iPLETED FOPa: 00&ATION TO BE ACCEPTED J w �
Date: "`�� �' ) `� Permit Number: / / 0 7—® / ��•
'.L RECEIVE®
Building pp Permit Application
Planning and Development Services APR 1 o 2017
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: Addition
PROPOSED IMPROV,E(VIENT LOCATION
Address: 7800 McClintock Way Port Saint Lucie
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO 1 (PB57-40) BLK 75 LOT 13 (OR 3035-857)
Property Tax ID#: 3424-800-0175-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION :OF UUORK
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CONSTRl' CT10N INFORMATION
Additional wor to e_,nertormed
under this permit—check all apply:
0HVAC 0 Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: US"'D S . Ft. of First Floor:
Cost of Construction:$ 7�JO 0CD Utilities:11 Sewer OSeptic Building Height:
OWNER/LESSE`E k CONTRACTOR
Name SAVANNA EAGLES RETREAT LLC Name: GARY WHIGHAM
Address:380 PARK PLACE BLVD. STE.200 Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: CLEARWATER State:FL Address: 4807 SO US HWY 1
Zip Code: 33579 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page (if different E-Mail: SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN L�1�1V Il'JFC}RMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: DAVISANDCLEATONENGINEERING,INC. Name:
Address:260 WEKIVASPRINGS ROAD SUITE 1060 Address:
City: LONGWOOD. State: FL City: State:
Zip: 32779 Phone: 407-539-2353 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: _Phone: Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspect' you intend to obtain financing, consult with lender or an attorney before
comme wo r record our Notice of Commencement.
Signature of Owner Lessee/Contractor as Agent f Owner,2 Signatur -antrat'fo icense Holder N
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STATE OF FLORIDA �N STATE OF FLORIDA
COUNTY OF SAINTLUCIE _ COUNTY OF L
nL _ SAINTLUCIE
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The forgoing instrument was acknowledged befor im, 'ALL, i The forgoing instrument was acknowledged before
0 n cam thls day Of 20 �� b ¢�X
this�_ day of 20 /�by ¢�X � y y rw
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+'," GARY WHIGHAM rmj6' ''bO
GARY WHIGHAM .off•,
(Name of person acknowledging) (Name of person acknowledging) . 0.
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(Signature of NoolyPublic-State of Florid ) (Signature of Nota ubliclll-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification i
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS