HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMP TED FOR eilPL«:ATION TO BE ACCEPTED
Date: °�• > �' Permit Number:
RECEIVE
Building Permit Application
Planning and Development Services APR f 0 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
PRQPOSED IMPRO.V:EMENT LOCATIQNy „ ;
Address: 7904 McClintock Way Port Saint Lucie
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO 1 (PB57-40) BLK 75 LOT 5 (OR 3035-857)
Property Tax ID#: 3424-800-0167-000-5 Lot No.
Site Plan Name: Block No.
Project Name: � ) 9
Setbacks Front Back: Right Side: ! Left Side:/O
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION:INFORMATION
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Additional work to be nertormed under this permit—check all t app y:
1IHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric E] Plumbing Sprinklers Generator Roof F ;Roof pitch
Total Sq. Ft of Construction: / C)(--" S . Ft. of First Floor:
Cost of Construction:$ 7 ��t '00 Utilities: Sewer Septic Building Height:
OWNER/LESSE'E - 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.
SUPPLEMENTAL CONSTRUCTION LIEN LA'iN INFORMyATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: DAVIS AND CLEATON ENGINEERING,INC. Name:
Address:260 WEKIVA SPRINGS ROAD SUITE 1060 Address:
City: LONGWOOD State: FL City: State:)
Zip: 32779 Phone: 407-539-2353 Zip: Phone:
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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 proms A Notice of Commencement must be recorded and posted on the jobsite
before the first in e, n. If yo intend to obtain financing, consult with lender or an attorney before
commencin . ork or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent f Signature of Contractor/License Holder
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STATE OF FLORIDA WN a STATE OF FLORIDA
COUNTY OF SAINT LUCIE i u c COUNTY OF SAINT LUCIE
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The forgoing instru ent was acknowledged befor mqg-- The forgoing instru ent was acknowledged before v z¢ z
this day of 20 L7by a�¢= this /t7day of 20/7. by ¢ z
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GARY WHIGHAM GARY WHIGHAM &
(Name of person acknowledging) "°_ (Name of person acknowledging) . '
Al flI.IA- 4-4kX4.X,
I i ature o otary Public-State of FI ida) (Signature of I ublic-State of Flori a )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
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Revised 07/15/2014
REVIEWS FRONT 'ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE , I /U j 7
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COMPLETE `7
INITIALS