HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: &�. 2U4 Z026 Permit Number: 9
91r.
Q
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: Interior Renovations at Walton Community Center
L PROPOS
ED
Address: 11090 Ridge Avenue, Port St. Lucie, Florida 34952
Property Tax lD#: 3532-503-0024-000-1
Site Plan Name:
Project Name: Walton Community Center
Lot No. 10
Block No. 2
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DETAILED 'DESCRIPT10 UOF' RK-!;'�
Interior Renovation of Restroom & restroom as well as replacement of exterior wooden access stairs and ramp.
New Electrical Meter Second Electrical Meter
,QNSTR,V INFORMATION
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: 2,400 Sq. Ft. of First Floor: 2400
Cost of Construction: Utilities: —Sewer _Septic Building Height: 1 Story
ss 0 0 Park ;CONTRACTORi
S'106n§trutfl?n&-,Pop*Vin6o&nent06m
Name Willie Redden, Jr.
Name: Charles D. Kerns
Company: Kerns Construction & Property Management Corp.
Address: 2300 Virginia Aveue
City: Fort Pierce State:
Address: 1680 SW Bayshore Boulevard, Suite 226
Zip Code: 34982 Fax:
City: Port St. Lucie State: FL
Phone No. 772-462-2159
Zip Code: 34984 Fax: 772-209-7700
E-Mail: reddenw@stiucieco.org
Phone No 772-985-5015
Fill in fee simple Title Holder on next page if different
E-Mail kerns02@aft.net
from the Owner listed above)
State or County License CGC 059365
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: x Not Applicable
Name: Don Bergman kchitecture, t.Lc
Name:
Address: PO Box13537
Address:
City: FortPierce State: FL
City: State:
Zip: 34982 Phone 772466-5632
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Not Applicable
Name:
N a m e: Security Bond Associates, Inc.
Address:
Address: 10131 S.W.40th Street
City:
City: Miami, Florida
Zip: 33165 phone:305-552-5414
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 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 in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing; work or recording; vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
COUNTY OF
Sworn to (or a irme and sou scribed before me of
Physical Presence or Online Notarization
this D day of Ooy e 2020 by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
Signature of Contractor/License Holder
STATE OF FLORI A
COUNTY OF Ficrlda
Sworn to (or affir ed)ands scribed before me of
Physical Presence or Online Notarization
this lg� day of 2020 by
Name of person making statement.
Personally Known p,-' OR Produced Identification
Type of Identification
Produced
JV Ml%C
Signature o otar e� F
_ �; otary, tc • State of Florida
(` " Commission N GG 940403
(Signature of Nota Publi Stat ca) ANTONIAJC RAKE
Notary Public . State of FI,
pp
Commission No. C 1. Comm4s Dec 16, 2023
)� ,ptrpmmission N GG 94041
Commission No. 1 `�I S
y
I oFf?�`' mm, Expires Dec 16,
Bonded through National Notary Assn.
Bonded through National Notary
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