HomeMy WebLinkAboutBuilding permit application-LussierALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/4/2021 Permit Number:
•
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
Address: 7704 White Egret Lane, Port St Lucie, FL 34952
Legal Description. Eagles Retreat at Savanna Club Phase 2
Property Tax ID #: 3424-702-0195-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Residential x
Lot No.
Block No.
Change out like for like 4 ton package unit, 14 SEER, 10KW heat, Bryant package unit PA4ZNA048
CONSTRUCTION INFORMATION:
Additional wor to a per ormed under -lints permit — Check a app y:
�HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing EiSprinkiers O Generator Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ $5000.00 Utilities:
Sewer LJ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George and Marilyn Lussier
Name: Keith Thompson
Address: 7704 White Egret Lane
Company; AC Keith Inc.
City: Port St Lucie State: FL
Address: 690 SW Pueblo Terrace
Zip Code: 34952 Fax: nla
City: Port St Lucie State: FL
Phone No. 774-696-1292
Zip Code: 34953 Fax: nla
E-Mail: lussgig@msn.com
Phone No. 772-519-1351
Fill in fee simple Title Holder on next page ( if different
E-Mail: ackeithl@att.net
from the Owner listed above)
State or County License: CAC1813976
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
MIAleIrn / rr%krirnA 9- riM .
----• �•v . r%p%--i Lin Arrouvi i : Appiication Is nereby 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 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 lender or an attorney before
commencing ork or rec9rdipg your Notice of Commencement.
of Own
as Agent for Owner I Signature of Contractor/License H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF + COUNTY OF
The forning instrument was acknowledged before me
this 'H ay of 7 20by
J
Name of person making ttatement
Personally Known OR Produced Identification
Type of Identificati n
i U
Proced PPl_ -1) L--
of
CAR;AJ.'COULTER
Commiss, o. 2: _ Notary11sew ec`Rorda
Ccmmissan s G ; 4F441
MY Ccmm. Expires oc; 30 2C21
REVIEWS FRONT I ZONING
COUNTER f REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
The f r oing instrum nt as acknowledged before me
this day of `' 20�L by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced fL !6 L
(Signature o of PubG ta of F r
Commission o. S �RVJ,CO1LTER
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SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
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