HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� SCANNED Permit Numbe
BY
:fit Lucie County
Building Permit Application
Planning and Developm,' ent Services
Building and Code Regulation Division
2300 Virginia Avenue, Tort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Ri
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOED 11111PREMENT LOCATIQN _'5}
Address: 8420 Gallberry Cir, Port St Lucie, FL 34952
Legal Description: ;Savanna Club Plat Three BLK 25 LOT 14 (or 4016-1179)
Property Tax ID #,! 3425-703-0224-000-8
Site Plan Name: Savanna Club
Project Name: James E Rodgers
Setbacks. Frontal-nro A
ck: 18' Right Side: 7•5' Left Side: 7
Rebuild a 11' x 21' screen room with an elite roof destroyed.from Hurricane Irma
1�4 r n Val-
unaer
0HVAC' LJ Gas Tank
LlElectric 0 Plumbing
Total Sq. Ft of Construction: 231 sq ft
Cost of Construction: $ 1400.00
Lot No. 14
Block No. 25
.�-.�..�._. .
permit — check an
apply:
Gas Piping
_
Shutters
Windows/Doors
Sprinklers
11
Generator
E
Roof
Roof pitch
S�Ftj of First Floor:
Utilities: L_ISewer 0Septic Building Height: 8'
0:1NNER/LESSEE`r '
CONTRACTOR F
r >
. R,Y.
Name Janes E Rodgers
Name: Steve Yetzer
Address 8420 Gallberry Cir
Company: RV Construction
City: PortSt Lucie State:FL
Address: 3318 Columbrina Cir
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-340-0522
Phone!No. 317-313-5863
Zip Code: 34952 Fax: 772-340-0522
Phone No. 772-380-8253
E-Mail: steveyetzer@yahoo.com
E-Mail: jimrsellsrealestate@gmaii.com
Fill in fee simple Title Holder on next page (if different
frorni he Owner listed above)
State or County License: CRC 1330965
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5UPPLEM�N'TAL CON5TR,UCTCON
LIEN LA11V INFORMATION
z
,
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: ,:,y /e.-
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Name:
Address:
41eir.P
Address:
City: -
State:
City: JX " G - //c o Pt i State: -G
Zip: 3d/.ff' Phone %�
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Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: I
Address:
City:
City: I
Zip: Phone:
I
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 o i 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 jany 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 thelapproved 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
improve is to your proper Notice of Commencement must be recorded and po d on the jobsite
before t e fi t inspection. If lop tend to obtain financing, consul l lender or an tto ney before
rnmmp ring nrk nr rprnrrli g Vn� r Nntir_e of Cnmmencerrrent.
I
I
Signature of Owner Lessee/Co trac or as Agent for Owner
Signature of Contractor/License old r
STATE OF FLORIDA
COUNTY OF S'�- �.1-�• C,
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledgegd before me
The forgoing instrument was acknowledged before me
this 3 day of I tA6LV by
this •3 day of 20LK�_ by
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Name ofi pe son maki g statement V
Name of pper%on makini statement
V
Personally Know OR Produced Identification
Personally Known OR Produced Identification
Type of Identificattio
pe of Identification
Produced Icl�� 1�,�
uced
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(Signatur f Nota y Pub of Florida (� ��`� ��o�
(Signature of No r/y Public- State of orida)
Commission No ��"1V G (�0 Seal), -A
Commission No.J� 47�3S (Seal) G }Q�
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANG VE
j
COUNTER
REVIEW./
REVIEW
REVIEW
REVIEW
REVIEW
RE;MW
DATE
RECEIVED
DATE
COMPLETEDI
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Rev. 8/2/17 r�
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