HomeMy WebLinkAboutBuilding Permit Application 2019-09-18 10:56 Accounting Results 7272895049 >> P 1/3
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, 09/18/2019 Permit NUmber:
RECEIVED
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41111111111111110", Building Permit Applic tion
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2,300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax- (772)462-1578 Commercial x Residential
PERMITTYPEWA& MECHANICAL
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Address: 12600 HARBOR RIDGE
Property Tax ID#. 4425-605-0003-00-05 Lot No.
Site Plan Name; CLUBHOUSE Block No.
Project Name: HARBOR RIDGE
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INSTALL WALKINCOOLER IN DRY STORAGE ROOM. BOX ISNOT LOCATED IN A PATH OF EGRESS,NO DUCT WORK REQUIRED,
PIPE IN REFRIGERATION LINE SFT AND START"THE COOLER.A LOCAL Ej I ECTRICIAN WILL FIF HIRED BY THF,OWWF.R TO HOOK UP POWFR,
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Additional work to be performed under this;permit—check all that apply:
—mechanical GasTank I Gas Piping —Shutters Windows/Doors
Electric Plumbing i5prinklers —Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction;$
a Utilities: .—Sewer —Septic Building Height.,
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NameWESLEY SHAWN FEAGLE Name-WESLEY SHAWN FEAGLE
Address:525 STEVENS ST CompanyTECHXSERVICES LLC.
City: JACKSONVILLE state: Address:525 STEVENS ST
Zip Code: 32254 Fax: City: JACKSONVILLE State:FL
Phone No.904-356-9333 I Zip Code: 32254 Fax:
E-mail:SHAWN.FEAGLE@TECHXSERVICE.dOM Phone No9D4-356-9333
Fill in fee simple Title Holder an next page(if,(different E-Mail SHAWN.FF-AGLE@TECHYSERVICE.GOM
from the Owner listed above) State or County License CAC058350
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.
2019-09-18 10:57 Accounting Results 7272895049 >> P 2/3
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY- Not Applicable
Name: Name:
Address: I Address:
City: State.". City: State.-
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable'
Name: Name:
Address:- I Address:
City: I city:
Zip:-Phone: I 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 grain ting a permit will authorize theermit holder to build the subject structure
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which Is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants that may restrict or prohibit such
structure.Please consult with your Home Owners Associatlon and review your deed for any restrictions'Nich 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
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"WARNING To OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR POOPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature wrier as Agent for:Owner Signature tractorlLi,Eense HoIT
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPiNrLLAS i COUNTY C)FPINGLLAS
The Lfx' g instrument as ackpowledged before me The forg g instrument was ac nowledge efore me
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per on making statement.
Name of pe son making statement-
Personally Known X OR Produced Identification Personally Known x OR Produced Identification I
Type of Identification Type of identification
Produced Produced-_
(Signature o -t! Si'( gnature of 0,W
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Notary Public State
of FloridaNotary Public-State of Florida
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Commission Commission 0 GG 2MAJ) Commission CoMininiah#GG 22
Ay omni. xplre5 Jun 1 202 y komri.Expires Jun 707
Bonded thf augh National Notary Assn.1 M through National Nota;Assn,l_
REVIEWS FRONT ZONING SLJ:P!ERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
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