HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE IRIFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:&3127120t9– �3� ``1 ;Permit Number:
RE EIVED
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APR ?019
Building Permit ApplicaPlanning and Development Services Permitting
Building and Code Regulation Division 9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMITTYPE:
PROPOSED INPROVEMENT LOCATION:
Address: 8851 Waterstone BIVd.
Property Tax ID 11:1311 700 0030 000 6 Lot No..
Site Plan Name:Club House Block No.
Project Name:Main Irrigation Service
DETAILED DESCRIPTION OF WORK:
200 Amp.single phaseservice. Replacing existing with like for like for future pump station and convenience outlets.
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 Cgnstruction:$1500.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
:Name Waterstone Community Development District Name Thomas Patri
Address: 1400'East Oakland Park Boulevard,Suite 103 Company:Bradford Electric Inc.
.City: Fort Lauderdale StateFL 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 Holderon next page(if different E-Mail HDR@BradfordElectric.net
from the Owner listed above) State or County License FL EC 13003147
H value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
If value of'HVAC is.$7,500 or more,a RECOROED,N'otice of Commencement Is required.
SUPPLEMENTAL 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 AFFIDVIIT: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" spection. If you intend t9 obtain ifnancing,consult with lender or an attorney before
commencing ork orrecoding your No•ce ofitonmencement.
Signa re of Owner/ essee/Contractor as for Owner Signature of Contractor License Holder
ATE OF FLORIDA STATE OF FLORIDA
COUNTYOF GY77r✓vec,=, COUNTYOF f7AL���i = '
The forgoing instrument was acknowledged before me The f(going Instrument was acknowledged before me
this ( day of /�P2 20[� by this l 7'day of e E-re— 20�`/by
?li/LC•D� (4a2�eL.S�.�l ��.fi.rv:.i�5 ��:LT2i
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 ���41H111111//j
Produced Produced
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ignature of Notary Public Stat 'da 6M signature of Notary Public-State of Flood .•
NOTARY PUBLIC
Commission No. ATE OF FLORID Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE.
COMPLETED
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1251 Jupiter Park Drive
WIADFO Suite 7
LLEC TRIC .C Jupiter,Florida 33458
INC (561)747-0656
Electrical Contractors (561) 747-0677 FAX
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