HomeMy WebLinkAboutBuilding Permit Application 1` 61 - 3fzL
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( r�,(�
Date: Permit Number: ��� I/ �mol
RECEIVED
JUL 3 ® 2019
Building Permit Application rmitting D partment
Planning and Development Services 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:Electrical
PROPOSED IMPROVEIVIENTaLOCATION: v�
Address: 8851 Waterstone Blvd it
Property Tax ID#: 1311 700 0030 000 6 Lot No.
Site Plan Name: Club House Block No.
Project Name: Pond Re-circulating Service"C'
lr� ETAILED'DESCRIPTION OF WORK:
150 Amp. Single phase service. Replacing existing with like for like for existing pump station.
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CONSTRUCTION INFORMATION: K,
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:: P
Name Waterstone Community Development District Name:Thomas Patri
Address:1400 East Oakland Park Boulevard,.Suite 103 Company:Bradford Electric Inc.
City: Fort Lauderdale State:-E Address: 1251 Jupiter Park Drive, Suite 7 �I
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@BradfordElectdc.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 more,a RECORDED Notice of Commencement is required.
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SUPPEMENTAL C�NSTiRUCTi®N311EI1ElAW'(f1lORMi�I�iCI1V� v I
DESIGNER/ENGINEER: _Not:Apj .II0bl.0 MORTGAGE COMPANY- i 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: Gty:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDViT:Application is hereby made to obtaln a permltto 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 pians,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 COMMENCEMIWT MAY RESULT IN YOUR PAYING,
TMCE FOR MPROr6MENTS T R PROPERTY. A NOitCE OF C011lMElIICBiIEIYT MUST BE RECORDED AND
POSTED ON THE JOB StiffRUM THE FIRST UJSPECTION. IF YOU II NTEND TO OB'TAIl11 FINANCING, CONSULT;
MITN YOUR LEINDBI OR TTORINEY BEFORE REDORDI IG YOUR NOTICE OF COMB BICEMENT
Signatur6 of Owner/L . ee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA--� gr-
The
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COUNTYOF ST- LvC.tC- COUL>
NTYOF l�w�1 F
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of -'`:j ,20 1 ? by this day of tit C i 20_ , by
ST,4/-/ S i✓L
Name of person making statement. Name of person making stat ent.
Personally Known_—X-�_OR Produced Identification Personally Known OR Produced Identification
Type of identification Type of Identification
Produced Produced
77
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nature of Notary Public-Stat ARyPMIC (Signaturg of Notary Public-State of Florida) \��� �t /.4rir��
TfQ�« ATE OF FLORID s''•.•it's.
Commission No. 3 �981B37 Commission No. (Seal) ,
E�ires 411
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION + SEA TURTLE ' NGROVE, '
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEWitYVH
RECEIVED -- 1-1* 'IRY
DATE — -- �T .
DATE ; of 11
COMPLETED
Rev.
71711TI
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