HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLI
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:SCANNED
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tDy
Build ng Permit Application
Planning and Development Services I Or 0
Building and Code Regulation Division �IN `,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Aluminum without concrete
RROPOSED IMPROVEMENT LQCATION
..
Address: 8216 bitterbush Lane Port Saint Lucie, FL 34952
Legal Description: SAVANNA CLUB - PLAT ONE - ELK 2 LOT 21 (OR 1540-1949: 3452-7)
Property Tax ID #: 3425-701-0065-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: %'�, Right Side: -1 S Left Side: '7 5
I
D,ETAILE®DESCRIPTION OF WOPRK
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0 I
11HVAC U Gas Tank Gas Piping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: 350 sr—
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Cost of Construction: $ %��
Generator
Roof
Lot No. -2-1
Block No. -2
/uoors
Roof pitch
S Ft. of First Floor:
Utilities:11Sewer 0 Septic Building Height:
OUIINER/LESSEE
CONTRACTOR °{, �,
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Name Carolyn A Sinko
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 8216 Bitterbush Ln
City: Port Saint Lucie State: FL
Address: 4807 So US Hwy 1
Zip Code: 34952 Fax:
City: Fort Pierce State: FL
Phone No. 772-873-5504
Zip Code: 34982 Fax: 772-466-1074
Phone No. 772-466-0913
E-Mail: sfapbooks@soflalum.com
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License. CRC1330712
IIIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
S PPIEMENTAI CONSTRucT1oN lIEN LAw
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DESIGNER/ENGINEER:
Name: S co �A
Address:
_ Not Applicable
5u'
MORTGAGE COMPANY: _
Name:
Not Applicable
Address:
City:
Zip: ?S?,�'7 a Phone 72a�
Stater
32�Q&3b
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
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, 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 I .
r r- der or an attorney before
commenciveE work oerordine vour Notice of Commencement. _ —�
re of 0 We Lessee/Contractor as Agent for Owner
or•/Ncense Holder•• ----- ••-----�`
STATE OF FLORIDA.
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STATE OF FLO D
COUNTY OF LU G! --p
COUNTY OF UC,G
The fmoing instrument was acknowledged Uefore me
this day of MCAA & 20 by
The for ing instrument was acknowledge efore me
this day of ��A , 20 ,
Gc� "[-1 he
� (Scc �-y (y
Name of persgn making statement
j NamC of Peron making statement
Personally Known t/ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
)1MWA-4 OAA I —
(Sign
(Signature f Notar Public- State of Florida )
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Comm
s3ioflo� Iv1Y COMMISSION #
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REVIEWS
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VEGETATION
SEA TURTLE
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REVIEW
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REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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DATE
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COMPLETED1261
Rev.8/2/17