HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED ) )
Date: �• -/ Permit Number:
s � Y RECEIVED
Building Permit Application APR /6 2017
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 Residential X
PERMIT APPLICATION FOR: Aluminum with concrete
PROPb,SED IIVIPROVEMEvNT LOCATION u ,E
Address: 7700 McClintock Way Port Saint Lucie
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO 1 (PB57-40) BLK 75 LOT 20 (OR 3035-857)
Property Tax ID#: 3424-800-0182-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: JZ1 Right Side: S� Left Side: X4�
DETAILED DESCRIPTION ;OF WORKk
UH
SHED, CARPORT
CONSTRUCTION INFORMATION
,....,Additional work to be erorm
e linfiprthis permit iec a app y:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
❑
Electric Plumbing Sprinklers 0 Generator D Roof Roof pitch
Total Sq. Ft of Construction: �T Sci. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
O�NNER/LESSEE csx
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 CO4110
NSTRUCTION LIEN LAW INFORMATION_ `'
x
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:
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 our property.A Notice of Commencement mus reco and posted on the jobsite
before the t i S ection. If you intend to obtain financing, con It t end r or an attorney before
commen n rk r recording our Notice of Commencemen
S
Signature wne see/Contractor as Agent for Owner Signature ntr r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINTLUCIE
The forgoing ins ument was acknowledged�efore me The forgoing instrument was acknowledged before me
thi�day of 20 by thiv�l —Tday of )lUxteA 20 L by
GARY WHIGHAM GARY WHIGHAM
(Name of person acknowledging) (Name of person acknowledging)
(sign atur o Notary Public-State of Florida) ( i natur of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commissi 46 MARY ANN M�g]f4 f i Commission q,,:�y% ANN NTI
?tea MY COMMISSION ri FF95313i; MY COMMISSION fY FF953138
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Revised -----
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS W17::