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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Iq �� • 1) Date: 10110/2019 Permit Number: RECEIVED Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 OCT 15 Z019 DepartmentBuildin Permit APPlicati St. Lucie County. Commercial Residential X PERMITTYPE: Concrete Repair I Address: 906 NW Winter Creek Rd Palm City FL 34990 e IZc p Anvionur I (l Cd.e,e ��• Property Tax ID #: 4117-! o 100S' 00O3-000 - Site Plan Name: Harbor Ridge Osprey Village Project Name: Concrete Repair f DETAILED DESCRIPTION"OF WORK Concrete Repair r-or Lot No. Block No. CQNSTRI�C?ION INFORMATION: -x -' `A 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: 95 SF Cost of Construction: $ 9,990.00 Sq. Ft. of First Floor: _ Utilities: —Sewer _Septic Building Height: -�VYiYER,I_Ir _- - �.• ••C�IVT1�►.'1`�ll ..._ ' ,t,`�. ° , Name Tracy Laurette Name: Luis Torres Chavez Address:12600 Harbour Ridge Blvd. Company: DMF Construction Inc City: Palm City State: _ Address: 312 S Old Dixie Hwy Ste 109 Zip Code: 34990 Fax: 772.336.1469 City: Jupiter State: FL Phone No.772.408.5419 Zip Code: 33458 Fax: 561-935-4271 Phone No 561-768-8988 E-Mail: t.laurette@hryce.org Fill in fee simple Title Holder on next page (if different E-Mail info@dmf-construction.com from the Owner listed above) State or County License CGC1524718 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. �$UPPLEMENTAL CONSTRUCTI�NLIN LAW`INFOR[il�A�TfON DESIG Not Applicable Name: MaMers Engineering. Corporation Address: 2431 SE Dixie Hwy City: Stuart State: FL Zip: 34996 Phone 772-287-0526 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: wA Address: City: Zip:. Phone: MORTGAGE COMPANY: Not Applicable Name: wA Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: N/A Address: City: 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 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 OWNEIC 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 JOB SITE BEFORE THE FIRST INSPECTION'IF YOU INTEIYI4 TO OBTAIN FINANCING, CONSULT MATH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING •YOLiIR No-nerorCOMMENCEMENT_" A Ix Signature of O er/ Lessee/Contractor as Agent for Owner Sign u 'of C ntractor/License Holden STATE OF FLOD4 COUNTY OF F4 Lac, STATE OF FLO D �acG� • e: COUNTY OF a`M The forgoing instrument was acknowledged before me The forgoing instrumen was acknowledged before me this IS day of g&0t�tr , 20A by this R2 day of ©C,b�r , 20,1� by L_a.u re_k� Lois e Q� J Name of person making statement. Name of person making statement. Personally Known R Produced Identification Personally Known _�OR Produced Identification Type of Identification. pe of Identification _ Produced .�`';�� Pu'•o DIANA VELASOUEZ P duced _* •°"___ Notary Public - State of Florida ` Commission # FF 929253 OF F��P�My Comm. Expires Nov 13, 2 19 (Signature o ary Pu gnature o ary Public- State of Florida) Commission No. t' ?n E s3 (Seal) Commission No. : CUR 2.53 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/ i/ 19 m