HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/1/2018 Permit Number: R1-
�� Building Permit. Application No RFCEr�FD
1.3.
Plonni g and Development Services 10
18
Building and Code Regulation Division R�rm14igg
23001%%rginia Avenue, Fort Pierce FL 34982 St. Qle Coarty..,
Phoned: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT
APPLICATION FOR: Addition
SCANNED
,CIPOSED
PR
IMPROVEMENT LOCATIONby
Address:
3600 Red Trailed Hawk Drive, Lot 7023
Louu11 ty
Legal Description:
Property
Tax ID #: 3425-704-0012-000-2
Lot No. 7023
Site Plan
Name: Savanna Club, Lot 7023
Block No.
Project
Name: Savanna Club, Lot 7023
Setbacl
s Front Back: Right Side:
Left Side:
DETAILED
DESCRIPTION OF WORK
Install garage
with electric
CONSTRUCTION
INFORMATION:
Additional
-HUAC
workto e e
E]
orme under this permit —check
Gas Tank ❑Gas Piping
a
apply:
Shutters ❑ Windows/Doors
ZElectric
Plumbing
Sprinklers
_
❑
Generator
❑
Roof
Roof pitch
❑
Total Sq. Ft of Construction: 400
Cost of Construction: $ 1=0 V0, 300
Sq. of,First Floor:
Utilities: Ir JSewer Septic Building Height:
COWNER/LESSEE .
CONTRACTOR.:.:.
..
Name Saavanna Club HOA Inc.
Name: William Bushkie
Address: 3492 Crabapple Drive
City: Port St. Lucie State: FL
Zip Code. 34952 Fax:
Phone No. 888-278-5434
Company: B.A.C.H. Land Development LL'C
Address:
City: Tampa State: FL
Zip Code: 33607 Fax: 813-253-8899
Phone No. 813-559-8555
E-Mail:;cmerrifield@suncommunities.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: TonyF@bach-development.com
State or County License: CBC1260502
from thi Owner listed above)
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.SUPPLEMENTAL CONSTRUCTION LIEN .LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
N a m e: Thomas P. Arnett, P.E.
AddreSS: 5440 Mariner Street, Suite 110
City: (Tampa State: FL
Zip: 33609 phone 813-374-2403
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:_
Address:
City:
Zip:
Phone:
State:
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 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 isj 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 your Notice of Commencement.
i
Signature of Owne Le s Agent for Owner
I
STATE OF FLORIDA
COUNTY OF Hillsborough
The for instrument was acknowledged before me
this 1st day of November 20_ by
Anthony Faline
I Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
nI % I) %A
gnature of Notary Public -State of Florida )
Commission N�,�'i. <�`•"pY"°��-: (Seal}AURIEKINDLE
_.k; �.� PAI' COMMISSION # GG 172276
u-;. ,., : � EXPIRES: February 24, 2022
�; '` odF;;°;'� Bonded Thru Notary Public Underwrite
/ dd&40"
Signature of ContractoOLicense Holder
STATE OF FLORIDA
COUNTY OF Hillsborough
The forgoing instrument was acknowledged before me
this 1st day of November , 20_ by
William Bushkie
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
Ature of Notary Pu'lblic% State of Florida )
mission No. 1 e• IR�jKINDLE
MY CO911ON # GG 172276
EXPIRES: February 24, 2022
OFXBonded Thr. Notary Public Undervzrilers
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
�o
DATE I
COMPLETED
Rev. 8/2/17