HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ;ACCEPTED..
Dater S :1a Permit.Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Applicat on . MAY 15 2019
ST. Lucie Country fM-Mlttln9
Commercial X Residential
.PERMIT TYPE: Building
PRO, POSED;-iIVIP,ROVEM. ENTLQCATION :Islarid Village of.;Hutcfmson Island
Address:NY31 �i Ocean Drive, Jensen 13eacn, I-L
Property Tax ID#: •3S'SS%139-.GLOP- UJO-S Lot. -No.
Site Plan Name: Clubhouse Block No.
Project Name, Clubhouse
DETAILED DESCRIPTION OF WORK
r t
Build Replacement Club House
CONSTRUCTION INFORIUTATION i
Additional work to be performed under this permit- check all that apply:
JMechanical _ Gas Tank _ Gas Piping . Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction. 810 Sq. Ft. of First Floor:.'810
Cost of Construction: Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR
Name Island Village of Hutchinson Island Owners Association, Inc.
Name: Thomas J. Flynn
Company: The W Group, Inc.
Address: 10 SE:Central Parkway , ',�.0 i .�-4 D fl
City: Stuart State: V::L,
Address:1409 SW Albatross Way
Zip Code: 34994 Fax: Ma •dhb -9 91) 11
City: Palm City-, State: FI
Phone No. boa - S29 no
Zip Code: 34990 Fax:
1 -1A-
E-Mail: Q a ' A d, C
Phone No (772) 220-1930
Fill in fee simple Title Holder on next page (if different
E-Mail Tomflynn@twgcontractors.com
from the Owner listed above)
State or County License CGC '1505177
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.
.FCONSTR'UCTION LIEN LAW IIVFORMi4TIOIV
4 SUPPLEMENTAL., 8 T
"f4 � _.. .,.z .;t .. t. sN' h,�< .2a't+_-..s^w.a., n.>= . ,.a ^.4. �r.:- 3i- f_ •L �.�,c
DESIGNER/ENGINEER;' _ NotApplicable
MORTGAGE C6MPY NY: Not Applicable
N a me: Kelly & Kelly Architects
Name::
Address:119 swstr; street
Address:
City: State:
City: Stuart State: 'FL
Zip: 34994 Phone tn21283-3492
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BON DING COMPANY: '>t_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.
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 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; lido hereby agree that 1 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 concurreney 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 COMMENCEMENT MAY RESULT IN YOUR PAYING
.TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. 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 DER OR ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Sig ture of Ow / Lessee/Contractor as Agent for Owner
g ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF 5* j LUC IL :
The forgoing instrument was acknowledged before me
this 13 day of MAY , 2019 by
The fo oing instrument was acknowledged before me
this day of M f}`i 20A by
(ZO 13Ee-'r CO M PI-DIJ
i ivl A'S 1;-4 Alm
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
io5PY pkR TRACYAPRICE
* MY COMMISSION # GO t1w6
Alt/m EXPIRES: March 27 M21
(Signat o otaryPublic,' Mate o 00 NAARCE
Notary Puwvfm
blic,• State of Florida
Commission No. " T3 7: ComgsLin# GG 222061
My Comm. Expires Jul 10, 2022
Bonded through National Notary Assn.
(Slg Ur of otaryublic- State 6fo da ThruBdg#IN&fys
Commission No. (Seal)
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ev.19