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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Pe F. ti�OI�O56
Date:4l27d12019 Permit Number:
-L _:� RECEIVED
"Cottury perm''
1- '•_R rte - a JAN 292019
'swimBuilding Permit Application
Planning and Development Services Permitting DeRnrtrrt@fit
St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT TYPE:
=PROPOSED INPROVEMENT,.LOCATION_
Address: 8851 Waterstone Blvd.
Property Tax ID#:1311 700 0030 000 6 Lot No.
Site Plan Name:Club House Block No.
Project Name:
DETAILED DESCRIPTION OFWORK A,
Rework common area services and install temPP ower to main clubhouse structure.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
X Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$'$'4;90.Q, A„06 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Waterstone Community Development District Name: Nomas Patri
Address: 1400 East Oakland Park Boulevard.Suite 103 Company:Bradford Electric Inc.
City: Fort Lauderdale State FL Address:1251 Jupiter Park Drive Suite 7
Zip Code:33334 Fax: (954)567-5166 City:Jupiter State: FL
Phone No.(954)567-5161 Zip Code:33458 Fax:(561)747-0677
E-Mail: brummettdon@gmail.com Phone No(561)747-0656
Fill in fee simple Title,Holder on next page(if different E-Mail HDR@BradfordElectric.net
from the Owner listed above) State or County License FL EC 13003147
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
If value of HVAC is$7,500 or mare,a RECORDED Notice of Commencement is required.
i -
i
%JO:Kt-MENTAL CONSTRUCTION LIEN`LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: 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
which is in conflict with any applicable that
e Owners Psssociation rulesauthorize
bylaws or and permit
ovenants 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 •btain financing,consult with lender or an-attorney before
commencing rk or re ording you No of Commencement.
, L (3\r ' - L
Signet a of Owner/Lessee/Contract.'a dent for Owner Signature of Contractor/License Holder
S TE OF FLORIDA STATE OF FLORIDA
OUNTY OF `3cntiJ4c6 COUNTY OF Pe4neaa4h
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this cgti day of -SpnV ark', ,20 lclt by this 23 day of January ,,20% by
'ThGL•
orl-L19a*d
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(6CI'eCt661 ,/
, -
(Signature of u�xsco (Signat e qiiiNgiaryiMikPifigiatatag Ofetttfda
'g MY COMMIS� GG 202814 Thea 0 Puliatti
Commission No 6 My Commission GG 187382
IRES�JuIy 1,2022 Commis 'o .E` Etoe303/1t o22
(seal
a M,p
.EO Rol Bonded Thu Notary Public Undeiwlters
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REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I.COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED 1 I
DATE
COMPLETED
Rev:9/26/18
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