HomeMy WebLinkAboutBuilding Permit Application I y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -�
Date: 07ABI T'r8 /. !�'/ Permit Number: .,/�v7- L ( •
R E E01"V E D
Building Permit Application .JUL 10 2018
Planning and Development Services
Building and Code Regulation Division Permitting DepartmeI1
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re ide t Aucie County, FL
PERMIT APPLICATION FOR: Demolition El
P>ROP.OSED IIVlP�ROVEMENT LOCATION,
Address: 13013 NW HARBOUR RIDGE BLVD. PALM CITY, FL 33990
Legal Description: HARBOUR RIDGE-PLAT 16-FIGTREE VILLAGE UNIT 21 (OR 3775-1404)
Property Tax ID#: 4426-830-0023-000-6 Lot No.
Site Plan Name: Block No.
Project Name: MYERS MALCOLM
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ; .
REMOVAL OF ALL FINISHES INCLUDING DEMOLITION OF MASTER & GUEST BATHROOMS
CONSTRUCTIQN.INFORMATION
Additional work to be nertormed under this permit-check all appy:
HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 0 Generator L]Roof F-1 Roof pitch
Total Sq. Ft of Construction: ScLFt.of First Floor:
Cost of Construction:$ 2,150.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR'
Name Malcolm R Myers Name: GREG MORABITO
Address:13013 NW HARBOUR RIDGE BLVD. Company: GM CONSTRUCTION LLC
City: PALM CITY State:FL Address: 313 SW ALBANY AVE.
Zip Code: 34990 Fax:NA City: STUART State:FL
Phone No.NA Zip Code: 34994 Fax: 772-781-8505
E-Mail:NA Phone No. 772-781-8500
Fill in fee simple Title Holder on next page(if different E-Mail: estimating2@gmconstructionllc.com
from the Owner listed above) State or County License: CGC049743
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L>IEN LAIN INFORMATION;
% . . e . r
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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
comVre-fting worecorclingVour Niotice of Commencem
Signature of Om n r/Lessee/Contractor as Agent for Owner Signa ure of Cont a for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF tA6y kcCOUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this--!T-day of 2011 by this day of -Jyl20_!SL by
X46 rc
Name of Wersoaking statement Name of pe son Making statement
Personally Known L"" OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(2
(Signature of Notary PublI'l - tate of FI (Signature of Notary Public-St to of Flj ) LAURAJ.COLWEL
tir�`�°�e�� LA'60 XWELL °t••••••,.. COMMISSIONLFF I 2
Commission No. r ° ••••• ° MYCOMMI FF994�T2 Fi Cfgq L`'7a-*
F� , ,_ V@gJ Commission No. I
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17