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BUILDING PERMIT APPLICATION
ALL,APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 2/27/2018 GANNED Permit Number: �y3— �7 • 3� Lude COUntV Building Permit Application Planning and Development Services I MAR — .6 2018 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: AI l minum with concrete _ r _. _ PR0P05ED IMPROVEMENT LOCATION: ` Address: 3616 Red Tailed Hawk Drive, Lot 7026 Port St. Lucie, FL 349952 Legal Description: Property Tax ID #: �� b OU �6�(P OQ)I 6 Lot No.7026 Site Plan Name: Savanna Club Block No. Project Name: Savannah Club, Lot 7626 Setbacks Front_ Back: Right Side: Q O S S. Left Side: DETAILED DESCRIPTION OF'IN,ORK: Install carport and shed LAJ cx? V n 12 I- lzx 5s o' a CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit —check a apply: 11HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors Electric ❑ Plumbing Sprinklers E] Generator Roof Roof pitch Total Sq. Ft of Construction: 720 S . Ft. of First Floor: Cost of Construction: $ 25,000 Utilities:Sewer E] Septic Building Height: 11 OWNER/LESSEE: � CONTRACTOR: Name Savanna Club A Inc Address: 3492 Cr apple Drive City: Port St. L ie S © �Ltat -William Bushkie B.A.C.H. Land Development LLC ddress: 3418 W. Arch Street Zip Code: 31452 I City: Tampa State: FL Phone No 88-278-5434 E-Mail: MKnight@suncommunitieslcom Fill in fee simple Title Holder on 'nei t page ( if different from the Owner listed above) Zip Code: 33607 Fax: 813-253-8899 Phone No. 813-559-8555 E-Mail: TonyFaline@gmail.com TN-V State or County License: CBC1260502 ' ®(4p®q IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I t D IGNE_gNGINEER: .� ;: NotAppiicable MORTGAGE. ML!Akf;. _ ,_..r..,N9tAPPji4abte:. - Name: Name: Address: 13630 50 sheatwrik sum 101 Address: City: Cteanvater State: FL City: State: Zip:3V6o PhoneW-02-90W i Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: ! Address: City: I 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 commenoed prior to the issuance of a permit St. Lucie Count�yr makes no represen lion that Lis granting a permit will authorize the �err��t holder to.build the subject structure which is to coritikctvuith any appiicab�e Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such -structure. Please consult with your Home O - ers 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 1 will, in all respects, perform the work in accordance with the approved plans, the -Florida Building Codes and St: Lude 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 ecord a Notice of Commencement may result in your paying twice for Impprovements to your property. A Notice of Commencement must be retarded and posted on the jobsite beforethe first inspection. If you intend to obtain financing, consult with lender or an attorney before rnmmonrine wri4- nr rornrrlina irm it hintiro of f nmmanramant Stgnatur of. _ l�trectCfe Aei4fpi0uvtii:fr , Signature tractor dense Holder STATE OF F IDA I STATE OF FLONDA COUNTY OF Hillsborough COUNTY OF HWdroroughConnty The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me this 5th day of • July . ZO 18 by this 2m day of FrtuwY , 20,L by Anthony Faline I WE=Bushlde Name of person -making statement Name of person making statement Personally Known x OR Produced i ntification Personalty Known x OR Produced identititation Type of identification .-Type of Identification Produced Produced I ature ofIWry Public- state of Florida) . lgn ure of Notary Public- Stat of Florida) Commission No. y''•. (gIEKINDLE 9 G,G IT2276 ' JO.S.,H1A Commission No. •• MY CO�M�MI ION :ti •r My c6mmissl EXPIRES: Februaryry 24, 2071 PultwUndekwnters •••.4r. •� EXPUtES J REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEATURTLE MANGROVE COUNTER REVIEW . REVIEW REV REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED t Rev.11/2/17 cam 3, 20Z0 v 1z, ry i i n, IF - �bs �''SS� Ih �R'���`;,/y x �R��� �x^•�1 � ��# � �e' Mans .•51�� 3y� �� b .e�£: k`v�j i +1 ..�9Yh h}.� .p '..xi JJ�" u � ,�..t',e,�i. rw.. `z .._.«�,..�"'a a,�... �,.e. �_d,^kc•Kd"� N' �i��P l:v .'�'C�.fi;�..' .., a.: �r ..�.P .s..,�.+•...,u.-.G cr^�.k�.-��» n{�,� �%�y iy���1r'tl'� �� .,�..S�w�• TA�i}�'4� ,d `"�Y`� 3�5. y+-"� / n .7"�i%...w. DESIGNER/ENGINEER: •.. _ Not Applicable .COMPANY�N.MORTGAGE plicable .. . ,:Ap Name: Suncoast Aluminum Engineering, Thomas P. Arnett, P.E. Name: Address:13630 58th Street North, Suite 101 I Address: City: Clearwater State: FL City: State: Zip:33760 Phone727-532-9000 • I 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 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. Signature of Owner/ LesseeLCTW UR Tr as `e` en"t fo` rf u"ne7� I STATE OF FLORIDA COUNTY OF I• The forgoing instrument was acknowledged before me this day of , 20_ by i Name of person making statement Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) G Commission No. (Seal) i REVIEWS I FRONT ONING COUNTER I REVI W I S REVIEWOR RECEIVED I COMPLETED Rev. 8/2/17 Signature'W tontractoribicense Holder STATE OF FLORIDA COUNTY OF Hillsborough County The forgoing instrument was acknowledged before me this 27th day of February , 20 4 by William Bushkie . Name of person making statement Personally Known X OR Produced Identification Type of Identification .(Tignature of ferry Public- State of Florida) .� Commission No. MY COMMIS; '�;� • d;:°' EXPIRES VEGETATION I SEATURTLE I MANGROVE REVIEW REVIEW REVIEW GG009 i, 2020