HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO
Date: 11/1/2018
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FOR APPLICATION TO BE ACCEPTED
Permit Number:ye)
Building Permit Application
Planning and Development Services
Building acid Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Addition
PROPOSED IMPROVEMENT LOCATION:
Address: 3600 Red Trailed Hawk Drive, Lot,7t23—
Legal DescriIption:
Property Tax ID #: 44MZ0" 14Q0'2_— a Lot No:_70�a]�.
Site Plan Name: Savanna Club, Lot 7023 Block No.
Project Name: Savanna Club, Lot 7023
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION IF WORK:
Install screen room U1'+�'►� �,�n�. ) () �c
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all th.,U apply:
aHVAC Gas Tank []Gas Piping _ Shutters Windows/Doors
ZElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft if Construction: 185 S . Ft. of First Floor:
Cost of Construction: $ _91�)6b Utilities: LJSewer ElSeptic Building Height:
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,OWNER/LESSEE:,
CONTRACTO'
Nam
Address: 3492 Crabapple Drive
City: Port St. I Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 888-278-5434
E-Mail: curer' field@suncommunities.com
Fill in fee simple Title Holder on next page if different
from the Owl er listed above)
iI u e
Company: B.A.C.H. Land Development LLC
Address:
City: Tampa State: FL
Zip Code: 33607 Fax: 813-253-8899
Phone No. 813-559-8555
ment.combach-develo F
E-Mail: Ton Y @ p
State or County License: CBC1260502
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTIO EN ,LAW, INFORMATION: tom.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N am e: Thomas P. Arnett, P.E.
Name:
Address: 5440 Mariner street, suite 110
Address:
City: Tampa State: FL
City: State:
Zip: 33609 Phone 813-374-2403
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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 our Notice of Commencement.
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Signature of 0 vne s / n raEtor as Agent for Owner
Signature ontractor/ cense Holder
STATE OF,FLORID
STATE OF FLORIDA
COUNTY OF Hillsborough
COUNTY OF Hillsborough
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1st day of November , 20_ by
this 1st day of November , 20_ by
Anthony Fall neI
William Bushide
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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( ign ture of Notary Public-
at o Flori
(Sign ure of Notary P
Commission No.
�� ��-
r;; UR KINDLE
!:' • ° :
.,_ MY C0� N # GG 172276
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Commission No.
;`;«?Y°•��v;;. LAURIE KINDLE
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: ; - MY COMlil*6 # GG 172276
:;, EXPIRES:
!' oe= EXPIRES: February 24, 2022
�l ,'
; a` February 24, 2022
FOF F�O• Bonded Thru Notary Public Undenfrtiters
t Bonded ThN Notary Public Underwriters
a -
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE i
RECEIVED
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DATE
COMPLETED
Rev. 8/2/17
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