HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 111d a — G S
JRECEIVED
SCANNED
BY
u r� f�,�mit Applicatiol
Planning and Development Services i
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: g1v,M qr P'*
PROPOSED IMPROVEMENT LOCATION:
Address: 8211 Cinnamon Lane I
Legal Description: Savanna Club - Plat One - Blk 6 Lot 6 (or3715-1
Property Tax ID #: 3425-701-0130-000-6
Site Plan Name: Hartigan I
Project Name: Hartigan I
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
-Rr_p10_C-f_ Cr palt I
FEB 14 2018
ST. Lucie
Residential X
Lot No. 6
Block No. 6
CONSTRUCTION INFORMATION: ,
itiona wor to e e orme un ert, ispermit—check all apply:
EIHVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing i Sprinklers Generator 11 RSof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ Q, Q Q 0- O"V
Sq. Ft. of First Floor: _
Utilities: OSewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Eleanor M Hartigan
Name: John Zervopoulos
Address: 8211 Cinnamon Lane
Company: Bella Rose construction DBA Advanced Hurricane Protection
Address: 4517 SE Commerce Ave
City: PSL State: FL
Zip Code: 34952 Fax:
City: Stuart State: FL
Phone No. 917-301-6829
Zip Code: 34997 Fax:
E-Mail: Elucey1942@yahoo.com
Phone No. 772-220-1200
Fill in fee simple Title Holder on next page (if different
E-Mail: John@AdvancedHurricane.net
from the Owner listed above)
State or County License: CBC1259339
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Eleanor Hartigan i
Name: John zervopoulos
Address: 8211 Cinnamon Lane I
Address: 8211 Cinnamon Lane
City: PSL State: I
City: Stuart State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 4517 SE Commerce Ave I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
I
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 pE
which is in conflict with any applicable Home Owners Assocla1
structure. Please consult with your Home Owners Association
In consideration of the granting of this requested permit, I do
in accordance with the approved plans, the Florida Building C
iorize the permit holder to build the subject structure
aws or and covenants that may restrict or prohibit such
our deed for any restrictions which may apply.
by agree that I will, in all respects, perform the work
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
improvements to your property. A Notice of Commer
before the first inspection. If you intend to obtain fini
commencing work or recording your_ otce of Comm
Commencement may result in your paying twice for
!ment must be recorded and posted on the jobsite
;ing, consult with lender or an attorney before
cement.
I
Sig ure of er/ Lessee Contractor as Agent for Owner
Sign ure of ynactor/Lice a Holder
S OF ORID�^
STA FLORIDA
COUNTY OF _ ! �) cash t t�
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing indent was acknowledged before me
this Ail day of E -tart 20-E by
this %L day of 20a by
Name of perso making statement
Name of pers making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
1 QpQ�n
Produced
(Signatu4 of Notary Public- State of Florida)
(Signature af Notary Public- State of Florida )
Commission No<�61% ro`�"�"�SeMtary Pubic state of Flo
mom ission NoGCn(333� .01 P.Veakjtary PebacState of F
Melissa A Ewoldt
1< My Comrrilmon GG 1333
= Melissa A Ewoldt
5 y My Commission GG 13
Expves08/10/2021
N.
4t�p0� Expires08/10/2021
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17