HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
In
Date: 2/5/2020 Permit Number:�r�_O 11 U
RECEIVED
FEB 0 6 2020
Building Permit Application
Planning and Development Servfces Permitting Departrnen'
SC Lucie Coon
Building and Code Regulation Division
23DO Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-2553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:Electric
PROPOSED IMPROVEMENTLOCATIiN: .
Address: 8851 Waterstone Blvd., Fort Pierce, FIL
Property Tax iD#: 1311-700-0030-000/6 Lot No., �e_
Site Plan Name: Watersione Block No.
Project Name: Waterstone Club House
DETAILED DESCRIPTION OFWORK`
REPleterChaiige -
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit•-check all that apply:
_Mechanical Gas Tank _Gas Piping Shutters y Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. R of Construction: Sq. Ft.;of,fifS Floor:
Cost 4f Construction..
t,,a =q"S g g
500 Utilities:'- eVut' tic Building Height:
131NNEItjLESSEE :CONTR tLf ►�F.� _
�a Waterstone HOA of St. Lucie Inc. Name:hJbshua OW
gddr 6g2
W. Hibiscus Blvd. - - -- - Cpany Bradfordectric Inc. j
"fVi lbi5urrre FL "125`i ;ippltt Park Drive
' State: A;cidrett"
` -` 554-567-5166 it t r"' '�� FL
Zip Code: 280 ; Fax: rt}i;:,J: pi i3 <';` State:
954„-567-5161 33458 561-747-0677
Phone.No. Zip Code: . Fax:
" •, ' ���brUmmettdon@gmail.com Phone N0561-747-0656 f
+�+ hdr@bradft)rdelectdc.net
•��I an�fee sli�i�le Title Holder on Hent page (if different E-Mail @
h�'&ner listed above} State or County License EC 13008879
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
ff value of HVAC Is$7,500 or more,a RECORDED Notice 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 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 contiict 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 017ME YOUR FAELURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT N YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB ATE BEFORE THE FRtST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wFirH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
5iihati6e,16f Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA, STATE OF FLORIDA--,
COUNTY OF ),'4u" COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this6 day of 2aQ6 by this day of G,6t_t4,J 2020 by
Name of person making st ement. Name of person makings Cement.
Personally Known OR Produced Ide ' AA Personally Known OR Produced Identification
Produced ed Identification \`\\�a�� � �/ Type
of Identification entification
`Y *i
,u3�
(SiknatTr,6 of Notary Public-Atate G-Florjda ) �:' (Signa ure of Notary Public-Stat of Florida ) ���.
' �' �rI► ANAD /i
Commission No. �*••• ti e°�d0a" ` „�\`
--- — – '�i� Tgr:r Pubtiw,.•; `\�� Commission No. �� r
y 50 1 •. E
�RI'PUBLIC� �0��
2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTI§� ' MANG14
COUNTER REVIEW REVIEW REVIEW , REVIEW REVIEW
RECEIVED
DATE
COMPLETED
�ev.zf 711-9: