HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 2All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED O �� jj S
Date; March 2nd 2022 END Permit Number:@a '-Si�J`i
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- Building Permit. Application St. Lucie Coullity
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce. FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578. CBDG Funding
PERMIT APPLICATION FOR:
Property Tax ID #:
Site Plan Name: _
Project Name: _
Lot No. o
Block No. 72
�ucl,ryi,Lr<U•Utic.tt(t:IIC1NQFWO;KK:« .. <��
New Electrical Meter Second Electrical Meter.
(Affidavit required) i
( .)NS I HtIc,JJQN liNFORMATIOR- * ° = �
Additional work'to be performed under this permit —check all.that apply:
%,ZMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric. (Plumbing _Sprinklers „Generator =Roof Pitch
Total Sq. Ft of Construction: 1320 Sq. Ft. of First Floor.
Cost of Construction: $ 5,200.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE;
CONTRACTOR: 3
Name Savanna Eagles's Retr at
Name: Thomas G Jennings
Address: �27777 Franklin Road 1;1 flte ?DO
Company: _ Jennings Mobile Home Setup
Address: P.O. Box 1428
City:S=thfield State: MI
Zip Code: 48034 Fax:
Phone No. E-
City: Auburndale Stater FL
Zip Code: 338823 Fax:
Mail
Phone No 863-581-3317
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) I
E-Mail ienningsmWoNamoabav rr corn
State or County License IHi na j 7R
..• c, n cu rouoce or �ummencemenz is regwrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I NU RL-EMENTAL CONSTRVC -1 LIEN LAU1(INFORMATfON; . :
Name:
Address:
City: State:_
Zip: Phone
FEE SIMPLE TITLEHOLDER: ,_ Not Applicable
Name:.
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
COMPANY: Not
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation
I certify that no work or iristallation has commenced prior to the issuance of a permit.
is no representation that is
authorize the permit holder to build the subject structure
aws or and covenants that may restrict or prohibit such
w your deed for any restrictions. which may apply.
In consideration of the granting of this requested permit, I do hereby agree than -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-residentlal use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing; cons
with lender or an attorney, before commencingwork or recordin our Notice of Commencement
Signature of Contractor - or - OvInerBuilderasapplicable
STATE OF FLORIDA
COUNTY OF POLK
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2nd day of March 2022__ by
Thomas G Jennings
Name of person making statement
Personally Known _ V OR Produced Identification
Type of I eritffi tion Produced
ignature of Notary Pub - State ofFlorida)
- -
Commission No. •(Seal)
�f �"�, KIMBERLYWATKINS
(((I ygy GOMM(SSION# GG 2667S6
-� ���, ` F�tPIRES. January 7, 20P3
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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COMPLETED
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