HomeMy WebLinkAboutSavannah Club Lot 7502- Permit Application- SignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/7/2021 Permit Number:
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7916 McClintock Way, Lot 7502
Property Tax ID #: 3425-704-0012-000-2 3424-800-0164-000-4 Lot No. 7024
Site Plan Name: Savannah Club Lot 7502 Block No.
Project Name: Savannah Club Lot 7502
DETAILED DESCRIPTION OF WORK:
Install garage with electric and screen room
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 680
Cost of Construction: $ $30,000.
(Affidavit required)
Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Savannah Club HOA Inc.
Name: William J. Bushkie
Address:3492 Crabapple Drive
Company: B.A.C.H. Land Development LLC
city: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 888-278-5434 E-
Address: 3418 W. Arch Street
city: Tampa State: FL
Zip Code: 33607 Fax:
Phone N0813-559-8563
Mail: cmerrifield(a)-suncommunities.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail tonyf@bach-development.com
State or County License CBC1260502
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Thomas P. Arnett, P.E.
MORTGAGE COMPANY: Not Applicable
Name:
Address: 5601 Mariner St. Ste.240
_
Address:
City: Tampa State: FL
Zip: 33609 Phone 813-374-2403
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 our Notice of Commencement.
Signature of caner/ Lesse /Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Hillsborough
/
Sworn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this 7th day of December 20 21 by
Name of person making statement.
V
Personally Known OR Produced Identification
Ty of Identification Produced
ign ture of Notary Publi State of Florida)
Commission (a I)
LAU2iE KINDLE I
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MY COMMISSION� GG 17 �r6
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Rev 5/20/21