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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J h 4 Date: 2/22/2021 Permit Number: v16 91ro 109 RBCgtVFo Building Permit Application APRz Planning and Development Services per?n. ?01� QW Building and Code Regulation Division COrY mercial Residen�,3'B���De 23001-VIrrh7jft .ue; Fo►t�Plerce�P63 982' LC'°untyenr (772) 462-1553 Fax'(772) 462-1578 PERMIT APPLICATION FOR:Carport & shed PROPOSED Ii,MPROVEM'ENT LOCATION Address: 7900 McClintock Way, Port St Lucie - lot 7506 Property Tax I D #: 3424-800-0168-000-2 Site Plan Name: Project Name: New Electrical Meter Second Electrical Meter - CONSTRUCTI,ON ;I NFQRIVIATION Lot No.6 Block No. 75 Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _Shutters ai' Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 45,000 Utilities: —Sewer —Septic M Building Height: OWNER/LESSEE ;"" :' CONTRACTOR: NameSavanna Eagle's Retreat LLC Name: Roger W Shull Address:27777 Franklin Rd Ste 200 Company: Shull Construction of Orlando, Inc. Address: PO Box 621851 City: Southfield State: AI�E Zip Code: 48034 Fax: City: Oviedo State: FL Phone No. Zip Code: 32762-1.851 Fax: 407-365-6278 E-Mail: Phone N0407-365-4078 E-Mail mel@shullconstruction.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License CRC05231 0 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. , S'UPPLEMERIIAL CONSTRUCTION;LIEN" LAW INFORMATION:; DESIGNER/ENGIN ER: Name: i IL J`rh© � Not Applicable S n,,-. ' S� MORTGAGE COMPANY: X Not Applicable Name: Address:, y yb l V" r) a hC to Address: City: li f I cuncLo State: -q--L City: State: Zip: ?5aglI Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: 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 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. //, a / Signature of er/ Lessee/Contractor as gent for Owner Signa re of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFSerolnole COUNTY OFSenninole Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization X Physical Presence or Online Notarization this 22 day of February gyp, by this 22 day Of February 0 by Va I a0a.l 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 � ML6tq 1�� CLA, +—. (wwkA J-�) 02j, (Signature of No ary Public- Stat re of Not ry Publi S `41 dray L. DAUGHERTY ;PPS MELODY L. DAUGHERTY Commission # GG 313218 Commission No. cc3�3z�e ,*: (ad�ommission#GG313218 Commis ion No. GG313213 'o= Ex it )17,2023 =b... ,. ;. p py EX ires Jul 17, 2023 P Y ` Bonde Thru Troy Fain Insurance 800.385-7 "rFOF F °P Bonded Thru TroFin REVIEWS FRONT ZONING PLANS VEGETATION SEATURTLE MANGROVE SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/20