HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/20/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
Address: 6000-600 WOODS ISLAND CIR
Property Tax I D#. 8 SQ)�T=,5 pc)5K- b00Lot No.
Site Plan Name: CLUBHOUSE Block No.
Project Name: KITTERMAN WOODS
REPAIRS TO BUILDING C 4,5,10,14,15,16,17\,,
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New Electrical Meter Second Elec�rlcal'Meter
Additional work to be performed under this permit–check all that apply:
—Mechanical Gas Tank Gas Piping Shutters Windows/Doors Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 20,000.00 Utilities: —Sewer —Septic Building Height:
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Name KM APARTMENTS LLC Name:ROBERT PARRIS
Address:'6600 WOODS ISLAND CIR Company:FIRETRONICS
City: PORT ST LUCIE,FL State: Address:1035 PINE HOLLOW POINT
Zip Code: 34952 Fax: City: ALTAMONTE SPRINGS State.-FL
Phone No.772-461-0444 Zip Code: 32714 Fax:
E-Mail: 1 Phone N0407-774-6900
Fill in.fee simple Title Holder on next page if different E-Mail ghernandez@firetronics.com
from the Owner listed above) State or County License florida-ef0000423
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If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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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:obtam a permit to do the work and installation as indicated.
1 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 reg riot 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 roams and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property.A Notice of Commencement must be recorded tri the public records of St.
Lucie County and posted on the jobsite before the first inspection.'lf you intend to obtain financing,consult
with lender or an attornpv before commencing work_or recording our Notice of Commencement.
Signature of Contractor/License Holder Signature of Contractor/License Holder
STATE OF FLORIDA. STATE OF FLORIDA.
COUNTY OF—56M L no COUNTY OF Sem l 1'10 I(°
Swgrn to(or affirmed)and subscribed before me of Swgrn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ✓ Physical Presence or Online Notarization
this____day of _ ,2020 by this__,_day of .2020 by
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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 .
Produced . _ Produced .
(Signature of Notary Public-State of FI rida) (Signature of Notary Public-State of FI rids)
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