HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1�
ALL APPLICABLE INFO MUST BE COfih-FLETED FOR APPLICATION TO BE ACCEP`ri�v
Date:Var,Z_1�5 Permit Number: YT -
4�aol!- ps -
4) RECEIVED
Building 06rqtAo
,plication JUN 2 6 2015
Planning and Development Services A ED
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Countv
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ill
I PROPOSED IMPROVEMENT LOCATION: ill
Address: 3492 Crabapple Drive, Port St. Lucie, FL. 34952
Legal Description. Savanna Club Plat Four, Parcel D-2, 3492 Crabapple Dr., Port St. Lucie, Fl. 34952
Property Tax I D #: 3425-704-001
Site Plan Name:
Project Name: Savanna Club Breeze
Setbacks Front Back:
1,DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
,eeexli5�1,1, 0'7 6W 2
Lot No.
Block No.
CONSTRUCTIO I N INFORMATION:
AaclitionalworKtobenertormed under this permit— checFaIrm �i_pply_--
E1HVAC D Gas Tank OGas Piping Shutters E]Windows/Doors
R1Electric El Plumbing E]Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: 3755 S Ft of First Floor: 3755
Cost of Constructicd�-._?5'85,0 InSewer Eheptic Building Height:
100 0,- Utilities.
OWNERAESSEE:
CONTRACTOR:
Name Savanna Club Homeowners Association
Name: Mathew Mattison
Address:3492 Crabapple Drive
Company: Commercial Contracting Division, Inc.
City: Port Saint Lucie State:FI
Zip Code: 34952 Fax:
Phone No. (772) 340-1889
Address: 709 SE 5th Street
City: Stuart State: Fl
Zip Code: 34994 Fax: (772) 283-2855
Phone No. (772) 220-3488
E-Mail: SWatkins@SavannaClub.org
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail:.MMaftison@CCDofStuart.com
State or County License: Florida CGC 1610875
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVINFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: N2 ARCHITECTURE& DESIGN
Name:
Ad d tress: 2081 SE OCEAN BLVD
Address:
City: STUART State: FL
City: State:
Zip: 34996 Phone: ca2)2zo�li
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
S
of Owner/ Lessee/Agent Signatfire of Contr5ctor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF a(i )CIe COUNTY OF Mnv-H "
The forgoing instirpment was acknowledgede4efore me
this _9q day of OW)C 1 20 L_)_by
Sc(rcAn IK)c'_+yAr1S1
(Name gfirson acknowl dging)
0
(SignattYre of Notary Public- State of Florida
Personally Known OR
Type of Identification Produce
Commission No.
MCIblic - State of Florl
. Expires Jul 9. 20
CommIssion # FF 034813
The forgoing instrument was acknowledged before me
this Z�' day of -i -(A yl e- 20 L5_ by
(Name of person acknowledging)
Av-XI
(Signaiure of �otary Public- State of Florida
Personally Known / OR Produced Identification
il'ype of Identification Produced
No. 6:1514-17 7— S (Sea])
%V P, Notary public Slate of Florida
Revised 07/15/2014 ?,14 *<" April Laraway
V Z My C mmission EE147725
J _:_ ..9ni-S 1 11
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