HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
�RROPOSED�IIVIPROVEMENT,' LOCATION
Address: 3760 Sage Court Port Saint Lucie, FL
Legal Description. SAVANNA CLUB PLAT THREE BLK 26 LOT 6 (OR 4001-2727)
Property Tax ID #: 34257703-0263-000-3 Lot No.
Site Plan Name: Block No. 26
Project Name: � ' ��� A
i/
Left Side: g N A- �1
Setbacks Front .,�� Back: �' Right Side:
15C,-<6!51j AO"- a"j 4ry)s Sc ,e 44et& SX&L tvisb-
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Additional work to bjeeJjerformed
F]HVAC
under this permit— check all
❑Gas Piping
apply:
Shutters
a Windows/Doors
L_
Gas Tank
_
Electric 0 Plumbing
Sprinklers
Generator
L M, Roof Roof pitch
Total Sq. Ft of Construction: 116 if- S Ft. of First Floor:
Cost of Construction: $ (000'- Utilities:cnSewer O Septic
Building Height:
DOWNER/L'ESSEECONTRACTOR-
Name PAULA MEYER
Address: 20 ROBINWOOD ROAD
City: NORWOOD State: MA
Zip Code: 02062 Fax:
Phone No. 508-904-4847
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
Name: GARY WHIGHAM
Company: SOUTH FLORIDA ALUMINUM PRODUCTS
Address: 4807 SO US HWY 1
City: FORT PIERCE State. FL
Zip Code: 34982 Fax: 772-466-1074
Phone No. 772-466-0913
E-Mail: SFAPBOOKS@SOFLALUM.COM
State or County License: CRC1330712
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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CONSi'RUCTIsON�LIEN LAW INFObRMATION
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��SU`PPL'EMEIIITAL
,
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:
_I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and Insid11d L1U11 dJ 11WILdICU.
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
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Co ense Holder
STATE OFF
STATE OF FLORID, Z-0 G1 �
COUNTY OF 0Cam/ `-P
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COUNTY OF d
The fogg;�ng inst ent was acknowledged before me
''""""delay
The filing instre ent was ackn wledged before me
day 20 / by
this of 20n by
this, of
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Nam of person king statement
VOR
Na a of person aking statement
so
Produced Identification
Personally Known Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced
Produced
aC)A_�'
(Signature of Not Public- State of Florida)
(Signature of otary Public- State of Florida )
Seal
'• RY ANN MATONTI )
i?on
Commissi r1{i)t°r�v!!'i: MARY ANN MAtbw I
My COMMISSION 9 FF953138
• MY COMMISSION # F F953138
EXPIRES January 24. 2020
'` K'' EXPIRES January 24. 202
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REVIEW
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REVIEW
DATE
RECEIVED
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DATE
COMPLETED
Rev.8/2/17 ` 1%