HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETEDTOR APPLICATION TO BE -ACCEPTED
Date: 3/5/2018 I Permit Number:
T SCANNED
- - .. �� By ����.,.
Bd'hd rTk0fiV�nit Application
Planning and Development Services MAR ' 12018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157& Commercial Residential
PERMIT APPLICATION FOR: Aluminum withl concrete
PROPOSED IMP ROVE MENT'LOCATION:
Address: 3528 Red _Tailed Hawk Drive, Lot 7022 PortSt. Lucie, FL 34952
Legal Description:
Property Tax ID #• 3 -
Site Plan Name: Savanna Club
Project Name: Savanna Club, Lot 7022
Setbacks Front ack: t^
Right Side: Left Side:
DETAILED DESCRIPTION Ol' WORK:
Install carport and shed mil/ s p
/0 X' / d
l q Y P-5- Ca+-parf '!
Block No.
CONSTRUCTION- INFORMATION:
AdditionaiworKtobenertormedunder this permit — c ec ,a apply:
0HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing �Sprinklersl Generator Roof Roof pitch
Total Sq. Ft of Construction: 614 S . Ft. of First Floor:
Cost of Construction: $ 25,000 Utilities: El Sewer Septic Building Height: 12
OWNER/LESSEE:.
CONTRACTOR:
NameSavanna Club HO , Inc.
illiam Bushkie
Address:3492 Crab ple Drive -
mpany: B•A.C.H. Land Development LLC
City: Port St. LuSK S tate•
mess: 3418 W. Arch Street
Zip Code: 3490 41 ,
ity: Tampa State: FL
Phone No. B -278-5434
Zip Code: 33607 Fax: 813-253-8899
E-Mail: MKnight@suncommunities.com
Phone No. 813-559-8555
Fill in fee simple Title Holder on next page ( if different 1
E-Mail: TonyFaline@gmail.com
from the Owner listed above)
State or County License: C13C1260502 630G Q(t
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
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DESIGNER/ENGINEER: Ndt Applicable
MORTGAGE COMPANY: Not Applicable
-Name:
Name:
Address:. i
Address:
City:- State: .I
Zip: Phone I
City:
Zip:
State:
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 make no representation that is granting a permit will authorize the permit holder to.buiid the subject structure
which Is in conflict witt aw applicable Home Owners Association rules, bylaws or antlPcovenants 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,=l 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 usesto 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
rnmmraneina urnrie nr roenrtlino unilr Mntiro of rnmmpncpmp_nf_ .
L
Signature of-Contractor/.L ense:HAldeh'
Signature of Owner ssee/Contractor. as.,Agt"t for Owned
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF Hillsborough I
COUNTY OF -Hillsborough
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5th day of_ JUIV .. 2018 by
this 5th- day of July . 2018 by
Anthony Faline
William Bushkie
Name of person making statement.
I
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
Sign ture of Natal Publi E are a URIE KINDLE
ign ure of Notary Publi
G a? . MY CdMMISSION # GG 17?276
�'"lC�uyY? "'•. LAURIE K1NDI E
1 '`'
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Commission NoA, :February 24,2022
mmission No. I'1 MYd5=lkSI0N#W172276
' $P,F'ticP ikllldeii TlilU .• 7 PPu& un&raks
i.: '. :,�? E�(PIFtES' Feb tua TA, 2022
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.. send
J.''.! .•pP.�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
LIR
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW -
REVIEW
REVIEW
REVIEW
REVIEW .
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 8/2/17
r ,
..DESLGNER/ENGINEER: _ Not Applica
Name: Suncoast Aluminum Engineering, Thomas P. Amett P.E.
Address:13636 58th Street North, Suite 101
City: Clearwater State: FL
Zip:33760 Phone727-532-9000
FEE SIMPLE TITLE HOLDER: _ Not Applica
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:....,. Not Applicable.
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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, Ildo 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 frorp 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 Ntice 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
commencing work or recording vour Notice of Commencement.
i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ol Contractor/ lcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF Hillsborough
The forgoing instrument was acknowledged before me ;
The forgoing instrument was acknowledged before me
this day of , 20_ by
this 5th day of March , 204_�L by
/
William Bushkie
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification i
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
JOSHUA
Commission No.6&aar1c��
MY Comm ISSI
'''•'lovi�', EXPIRES
J I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW !
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
i
COMPLETED
Rev. 8/2/17
GG009-
i, 2020