HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a`\ ` \5 Permit Number: 5b a 5 3
RECEI" D W.292015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line e vv�o Go
PROPOSED.IMPROVEMERIT LOCATION;: .
Address: 3492 Crabapple Dr. Port St. Lucie, FL. 34952
Legal Description: Savanna Club Plat Four Parcel D-2 or(935-1781:1383-2323), Crabapple Drive Port St. Lucie, FI. 34952
Property Tax ID#: 3425-704-0015-000/3 Lot No.
Site Plan Name: Savanna Club Block No.
Project Name: 3492 Crabapple Drive Breezeway Demolition
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION INFORMATION
Additional workto b e er orme under t is permit-check all that appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1500 S . Ft. of First Floor: 1500
Cost of Construction:$ 5000 Utilities:Sewer Septic Building Height: 10'
OWN ER/'LESSEE CONTRACTOR:
NameSavanna Club Homeowners Association, Inc. Name: Mathew W. Mattison
Address:3492 Crabapple Drive Company: Commercial Contracting Division, Inc.
City: Port St. Lucie State: FIL Address: 709 SE 5th St.
Zip Code: 34952 Fax: City: Stuart State:FI
Phone No.(772) 340-1889 Zip Code: 34994 Fax: (772) 283-2855
E-Mail: SWatkins@Savannaclub.org Phone No. (772) 220-3488
Fill in fee simple Title Holder on next page(if different E-Mail: MMattison@CCDofStuart.com
from the Owner listed above) State or County License: FL- CGC1510875
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
.
DESIGNER/ENGINEERApplicableMORTGAGE COMPANY: Not
: x_Not x Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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 tV first inspection. If you intend to obtain financing, consult with lender or an attorney before
cqmmevciadworrecordingour Notice of Commencement.
_Signature of Owner/Lessee/ gent Signa ure of Contractor License older
STATE OF FLORIDA J STATE OF FLORIDA
COUNTY OF L UIC LA COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me
this a-`1 day of_ t:�Q2_4 20 L::by this.� day of 20 Z'� by
(Name of pe on acknowledging) ( ame of person cknowledging)
gn re of Notary Public-State of Florida) Sig a of Notary Public-St a of Florida)
sonally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced /iiG���
C JANET M.DEMONTE z`1�02� awy JANET M.DEMONTE
Commission No. ��i t6e�tY PUBLIC Commission No. Q (S�II�RY PUBLIC
MSTATE OF FLORIDA _STATE OF FLORIDA
M20757 ;74i Comm#EE120757
Revised 07/15/2014
Expires 8/10/2015 •'Y�E 19 Expires 8/10/2015
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS