HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 -'� � ����IN 1 Permit Number:
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Building Permit Application
j RECEIVED
Planning and Development Services JAN 3 0 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 I Lode nty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 0 Id,;,/o,
Address: 7646 Barn Owl Dr, Port St Lucie, FL134952
Legal Description: FAIRWAYS AT SA'
CLUB REPLAT NO 1 (PB 57-40) BLK 72 LOT 1 (OR 4009-1561)
Property Tax ID #: 3424-800-0118-000-7
Site Plan Name: Savanna Club
Project Name: John F and Kathy E Stinson
Setbacks Front 22' Back: -9
Side:Left Side: NA
Lot No. 1
Block No. 72
Build a 8' x 10' extension on existing concrete in the back of the house with an elite roof.
11HVAC
Electric Plumbing []Sprinklers Roof pitch
Total Sq. Ft of Construction: 80 sq ft S Ft. of First Floor:
Cost of Construction: $ 950.00 Utilities: Sewer []Septic Building Height: 8.5' x 8'
"Shutters
Generator
0. Windows/Doors
Roof
OUIII�t Ftf LESSEE gg S.. k „s
GONTRACTf3R
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Name ,John F Stinson and Kathy E Stinson
Name: Steve Yetzer
Company: RV Construction
Address: 3318 Columbrina Cir
Address: 7646 Barn Own Dr
City: Port St Lucie State:FL
Zip Code: 34952 Fax:772-340-0522
City: Port St Lucie State: FL
Phone Nct. 757-620-4561
Zip Code: 34952 Fax: 772-340-0522
E-Mail: plymouthjohn@hotmail.com
Phone No. 772-380-8253
E-Mail: steveyetzer@yahoo.com
Fill in fee simple Title Holder on next page (if different
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 regwrea.
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
_Not Applicable
Name: John F Stinson and Kathy E Stinson
Name:
Address: 7646 Barn Own Dr
Addre55: 7646 Barn Owl Dr, Port St Lucie, FL 34952
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:
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 your paying twice for
improvemnwors
our propertynte
ice of Commencement must be recorded and p d on the jobsite
before theepection. If yoto obtain financing, cons h lender or a atto ney before
com enc or record" tice of Commence ent.
Signatur of Contractor/Licens older
Signature Owner/ Lessee/Contra o as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
OF S� \V Ci -
COUNTY OF Sk' \11,Qa c -
COUNTY r.
The forgoing instrurn was acknowledged before me
The for oing instrum nt was acknowledged before me
2 day 20 by
this ?Aday of 201�$ by
this of
��'r•e-K1YL2l"1 i��Clr
Name of per n making statement
Name 0t p so m6king statement
Personally Known OR Produced Identification '
Personally Known OR Produced Identification
Type of Identification
a of Identification
Produced
Pr uced
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(Sign re of Notary Publ' - State of Florida �(9 ��9 ���
F
ig ature f No ary Public- tate of Florida)
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Commission No. C I�US S9�?I)��lQ��
Commission NoCC `i (Seal)
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
DATE
COMPLETED
Rev.8/2/17 v N