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
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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
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Rebuild a 10' x 30' screen room with an elite roof'destroyed from Hurricane Irma
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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'
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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.
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Signature wner/ Lessee/Con a for as gent for Owner
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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
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SEA TURTLE
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COUNTER
REVIEW
REVI W
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17
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