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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06114/2021 Permit Number: C7Q J U 0 - 04
RECEIVED
0
t I
JUN 1 021
Building Perm it.Appi ication
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial X Residential 'St. Luc'6 County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)'462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ('9 � rn v 1-7
A FATIP
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Address: Savanna Club 3292 Crapapple Dr., PSL 34952
Property Tax lD#. 3425-704-0015-000-3 Lot No.
Site Plan Name: Savanna Club Plat Four Block No.
Project Name: — Door Canopy / Awning
)ricate and install one Door Canopy Awning
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o d J- rzA - S- e r7>,e -ra +e-
2)
New Electrical meter N/A Second Electrical Meter N/A
%
Additional work to be performed under this permit —check all that apply:
—Mechanical —Gas Tank Gas Piping —Shutters Windows/Doors Pond
— Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 1,486.-
Generator Roof
Sq. Ft. of First Floor: N/A
Utilities: —Sewer _Septic Building Height:
Pitch
`.,CONTRACTOR
Name Savanna -Club HOA
Name: Dieter Ruhstrat
Address: 3492 Crabapple Drr.
a"
Company: , .Major C'n`vas'Aw-nin-gs',-Inc,� `
City: Po&St. Lucie.,, Stite:
Address: 400 NW Concourse Pl, Suite #9
Zip Code: 3495�2 Fax:
City:Port St. Lucie State: FL
Phone No.772-214-6024
Z ip'��t o d e- 34986 Fax:'-'
Phone N0772-336-9500
E-Mail: arusso@savannaclub.org
Fill in fee simple Title Holder on next page (if different
E-Mail majorawnings@bellsouth.net
from the Owner listed above)
State or County License 17449
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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name: Paul welch
Name:
Address: 184 SW Blltmore street#114
Address:
City: Portst wcle State: FL
City:
State:
Zip: 34984 Phone772-78s-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
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 attornev before commencine work or recording vour Notice of Commencement.
ZSignatu e'6f.%*h /Lessee/Contractor as Agent for Owner
tfS ga �`�f!G( ct rfiiteO a Holder
STATE OF FLORIDAS ) PCI o,
COUNTY OF
STATE OF COUNTY OFORIDA r� � e -
d
/l
S rn to (or affirmed) and subscribed before me of
S3pwto (or affirmed) and subscribed before me of
Ph ical Pr a ce or Online Nottt'ization
this day o 2926 by ��
Phy ical Pr ce or Online N�riz n
this day o 2620 by�
e CvOis4pa±
rall"_
Name of person making statement.
Name of person making statement.
/
Personally Known OR Produced Identification
Personally Known OR Produced Identification
do
Type of Identific Q .
Type of I ntt ation
Produced
0
Produce41
(Signature of No a y Public- State of Florid
(Signatu o-(,' . ,y PubltdB�t! HUM
MY COMMISSION # GG 300817
Commission No. otP"•Y"° -; AUDRS �j}�MPHREY
Commis lzrJ ` o`` EXPIRES: March
:* M Comm ISIOtd i# GG 300817
- Foy F ;4• Bonded Thm Notary Public Undenvritere
=:. off: EXPIRES: March 6, 2023
; '9F F
onded Thru Notary P
blic Underwriters
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Rev. 5/b/Z0