HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE I NFO MUST BE COME,,,e,'ED FOR APPLICATION TO BE ACCEPTED '
Date: April I , 2020 Permit Number:
a, )o L4 O O
I i SCANNED ,
Y RECEIVED
e�acov
Building Permit Application APR l s 2020
P
Planning and Development Services termltting pQ
Building and Cod a Regulation Division St' Lr��l� dun gent
2300 Virginia A enue, Fort Pierce FL 34982
hone: (772) , 62-1553 Fax: (772) 462-1578 Commercial Residential
IERMITT
E:
PROPOSED�IMPROVEMENT
LOCATION:
Address: f
Property Tax I l
Site Plan Nam j:
Project Name:{
4555 South Indian River Drive Fort Pierce Florida 34982
#: 2436-324-0006-000-2 Lot No.
Block No.
FDETAILED DESCRIPTION
OF WORK:
"On of Dock and Platform tj 11 W_
I..,CONSTRUqION INFORMATION: -
Additional w
Mecha
_ Electri
Total Sq. Ft c
I
Cost of Cons
to be performed under this permit— check all that apply:
it _ Gas Tank _ Gas Piping _ Shutters
_ Plumbing _ Sprinklers _ Generator
)nstruction: Sq. Ft. of First Floor:
;tion: $ $ 6000.00 Utilities: —Sewer —Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWN ER/LSSEE:
CONTRACTOR:
Name Robert Savanello
Name: Owner/ Builder
j Address: 14555 S Indian River Drive
Company:
City: 11 Fort Pierce State: Fla
Address:
Zip Code: 1134982 Fax:
City: State:
Phone No. ! 954-347-0896
Zip Code: Fax:
E-Mail: ( robsavaneilo@amaii.com
Phone No
Fill in fee sipple Title Holder on next page (if different
E-Mail
from the Opner list -above)
State or County License
If value of 1ruction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I
i 1
'SUPPLEMENTAL
CONSTRU
'LIEN LAW INFORMATION:
DESIGNER/E
me: it Na
Address: 11
City: Fort Pier
Zip:
I
GINEER: _ Not Applicable
Archtechonic Inc
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
806 Delaware Ave
a State: Fla
Phone 772-460-7751
FEE SIMPLE TITLE
Name: 1
Address: fl
Gity: 11
Zip: 11
11
HOLDER:. " ✓ Not Applicable
BONDING COMPANY: ✓ Not Applicable
Name:
Address:
City:
Phone:
Zip: Phone:
OWNER/ CON RACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no ork or installation has commenced prior to the issuance of a permit.
St. ILucie county I akes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confli; with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strlucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration] f the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance wi h the approved plans, the Florida Building Codes and St. Lucie County Amendments.
11
The following bg1l'lding 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 Fill IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
j POSTED do THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENOM d'W AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
I �
I l
Signature of 0"�
ner/ ssee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF F
COUNTY
ORIDA
5�w-d �
STATE OF FLORIDA
COUNTY OF
OF
forgoing i
1,e
strument was acknowledged before me
The forgoing instrument was acknowledged before me
s �! day
f 612j: + . 2020 by
this day of . 20_ by
j%,4; Sa va.t,
me of pers'
n making statement.
Name of person making statement.
IC
Personally Kn
wn OR Produced Identification 1/
Personally Known OR Produced Identification
Type of Identt.'iflcation
Type of Identification
ProducedDYi
Produced
�w.
SAYARIA
'
toary PublA
c - state of Florida
(Signature of'Notary
27
. Euires Jul d31023
Pu1;!Zzh
(Signature of Notary Public- State of Florida )
I
4aborai Notary Assr.
'7 26
Commission o.
Commission No. (Seal)
Rwfl e. Scrry1Q tn ILA
A
REVIEWS I
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE I
_T
COMPLETE
Rev. 217119