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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONZ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d Date: I I'ad I �� SCANNED Permit Number: �A 0 SBy ,= RECEIVED t Lucie County e Buildi tig Permit Application JAN 3 0 2018 Planning and Development Services ST. Lucie County, Permitting 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: To Select from dropbox, click arrow at the end of line PROPOSED IIVIPR6UEMENT LOCATION `. s f r r �T ArldrPcc. 7932 Black Tern Drive, Port St Lucie, FL 34952 Legal Description: Eagles Retreat at Savanna Club (PB 42-24) BLK 54 Lot 18 (OR 3858-548) Property Tax ID #: 3424-701-0034-000-0 Lot No. 18 Site Plan Name: Savanna Club Block No. 54 Project Name: Carl G Lindquist and Debra L Lindquist Setbacks Front NA Back: 15' Right Side: 15' Left Side: 10' DETAILED DESCRIPTION OF�WQRK n,.r. �., r ..� ..� ;. Rebuild a 10' x 30' screen room with an elite roof'destroyed from Hurricane Irma l Aooitionalworkto I3 errormeo unoerthis permit— cnecK,all apply: E1HVAC _ Gas Tank Gas Piping _ Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 300 sq ft S Ft. of First Floor: Cost of Construction: $ 2200.00 Utilities: 0 Sewer OSeptic Building Height: 7' 10" OINNEFt%LESSEE « 1'R$ACT CON,..'... . . � ... Name Carl G and Debra L Lindquist Name: Steve Yetzer Company: RV Construction Address: 3318 Columbrina Cir Address: 7932 Black Tern Dr City: Port St Lucie State:FL Zip Code: 34952 Fax: 772-340-0522 City: Port St Lucie State: FL Phone No. 631-645-4351 Zip Code: 34952 Fax: 772-340-0522 E-Mail: clindquist1950@yahoo.com Phone No. 772-380-8253 Fill in fee simple Title Holder on next page (if different E-Mail: steveyetzer@yahoo.com from the Owner listed above) State or County License: CRC 1330965 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. -SUPPLEMENTAL�,CONSTRUCTION L,EN LAW INFORMATION' .w DESIGNER/ENGINEER: Not Applicable Name: Carl G and Debra L Lindquist Address: 7932 Black Tern Drive, Port St Lucie, FL 34952 City: State: Zip: Phone i MORTGAGE COMPANY: _ Not Applicable Name: Address: 7932 Black Tern Dr City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: l Address: City: City: Zip: Phone: I Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Applicatiori 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 your pay' ice for improveme o your property tice of Commencement must ecorded and posted n the bsite before the irst i pection If y u inters to obtain financin cons twit lender or an attor a befo commoRci g work or recorcjiqg your N g, IF tice of',Commencem t. 1 I Signature wner/ Lessee/Con a for as gent for Owner i Signature o ontractor/License Holder STATE OF FLORIDA Sr STATE OF FLORIDA COUNTY OF \v-C\cam COUNTY OF The fo�r oing instrumen was acknowledged before me The for,ggoing instrumgr as acknowledged before me 7'1 this'I day of ZXxX\ 20L�5_ by this day of ZXAXN 2019 by ame of ers�r making statement Name of p rso ak' g statement Personally Known OR Produced Identification ersonally Known OR Produced Identification Type of Identification y T e of Identification Produced Ov�o �r'p ed 0 (Signature of NotaryPublic- S to of Florida) (Signat re o o/ta�ry P li/c,-�State of Florida) C�•�Go� �5F Commission No.l 4W?Oj eal) �G Q� Commission No.l; REVIEWS FRONT ZONIN UPERVISOR PLANS VEGETATION SEA TURTLE ANGROVE COUNTER REVIEW REVI W REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev. 8/2/17 ryo