HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Numb r: J
BY
® St Lucie County
--_ - Building Permit Application MAY 0 3 2018
Planning and Development Services ICI Permitting Department
Building and Code Regulation Division St. Lucie Count
2300 Virginia Avenue, Fort Pierce FL 3498211 County,, FL
Phone: (772) 462-1553 Fax: (772) 462 �i1178 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ` c
PROPO5_Q INIPRQVEMEIVT LOCAl'10'N
_---
Address: 3411 Ironwood Ave, Port St Lucie; (L 34952
Legal Description. Savanna Club Plat Three'I LK 40 LOT 3 (or 3919-1847)
Property Tax ID #: 3425-703-0365-000-8 l
Site Plan Name: Savanna Club I I
Project Name: Peter C Black j� s
Setbacks Front NA Back: 20' �� Right Side:,7'� Left Side: NA
Lot No. 3
Block No. 40
bfTAILD DEy CR.1PTI01�OF�1�U}Rt
Rebuild a creen room and adr, is room with an elite roof destroyed from Hurricane Irma
w) eye ' s4 ► ��
'C-0t;'P_i1 cr-)C_-�CA xG; rM—AI c, _ rim 1c3X-,-1 r-�
CONSTRUCTION INFORMATION
FORMAT"'
_�
ona workto e e orme� un
�j
er t is per
it — check a
In
apply:
❑HVAC LJ Gas Tank
Gas
iping
Shutters
F]Windows/Doors
Electric ❑Plumbing
EJD Spy
klers I Generator
0 Roof Roof pitch
Total Sq. Ft of Construction: 200 sq ft
S . Ft. of First Floor:
Cost of Construction: $ 1500.00
II
Utilities: Sewer Septic
Building Height: 8'
u
O,IVNER/LESSEE r k M
*CONTRACTOR "
K4
Name Peter C Black
Name: Steve Yetzer
Company: RV Construction
Address: 3411 Ironwood Ave
City: Port St Lucie State:��
Address: 3318 Columbrina Cir
Zip Code: 34952 Fax: 772-340-0522 I
City: Port St Lucie State: FL
Phone No. 305-970-7434 ` I
Zip Code: 34952 Fax: 772-340-0522
E-Mail: ksusnjer@gmail.com I
Phone No. 772-380-8253
E-Mail: steveyetzer@yahoo.com
Fill in fee simple Title Holder on next page (if different
State or County License: CRC 1330965
from the Owner listed above) I
I If value of construction is $2500 or more, a RECORDED Notic i of Commencement is required. I
i
PPE.EII EN L� #JNSTRUC IO�lL1 N AW44'
I TION p t �� �`""W
DESIGNER/ENGINEER: _ N '
Name: t°
Address: Ste/
City: t'A,o jZ, l/c6>° 1 I
Zip: 2,a/��' Phone `7Z 6Si
t Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
C e.
Address:
City: State:
Zip: Phone:
State: T!L—
kyl9r
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Address:
City:
Zip: Phone:
Applicable
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 comrr� raced prior to the issuance of a permit.
St. Lucie County makes no representation that1is 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 reques�ed permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the FI rida Building Codes and St. Lucie County Amendments.
The following building permit applications are
accessory structures, swimming pools, fences,
WARNING TO OWNER: Your failure to
improvenngw
your property. of
before tSpection. If y ant n
commenk or recordin your N
Signafu a of Owner/ Lessee/C Jtrafor as
STATE OF FLORIDA
COUNTY OF
!xempt from undergoing a full concurrency review: roori additions,
malls, signs, screen rooms and.accessory uses to another non-residential use
ecord a Notice of Commencement may result in your paying twice for
ce of Commencement must be -recorded and ed on the jobsite
I to obtain financing, cons t with lender or n at orney before
7tice of Commencement.
for Owner
The forgoing instrurgent was acknowledged efore me
this day of MCA.K by
Nbme of pePson�r eking statement
Personally Known OR Produced Idi
Type of (dent' 'cation
Produced
of Notary Public -
Commission Noe-& / NI
of
re cif Contractor/Licdnse Molder
STATE OF FLORID .
COUNTY OF S vim`
The forgoing instrument was acknowledged before me
this -,?- day of "Q 201Y by
Name of pe on making tatement
Personally Known OR Produced Identification LX
Type of IdentificatiQn _
rroaucea%
(SiJnatuFKd Notary Public- Statf?,:;f Florida) W7 'y
�A
Commission No.C_'C_ 7 C\ ,.'•, �'F
REVIEWS
FRONT
.O�
Z �11Ti1�
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV)EW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17