HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/29/2021 Permit Number:
S5ro
G� n o �` ` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HUTCHINSON ISLAND BEACH CLUB
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S. OCEAN DR. JENSEN BEACH FL, 34957
Property Tax ID #: 4511-514-0000-000-9
Site Plan Name:
Project Name: HUTCHINSON ISLAND BEACH CLUB
DETAILED DESCRIPTION OF WORK:
INSTALL (2) NEW 2 TON'S 14 SEER'S 5KW HEATER'S COMPLETE YORK SYSTEM(S)
Lot No. —
Block No.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: ,
Additional work to be performed under this permit —check all that apply:
,Mechanical _ Gas Tank _ Gas Piping — Shutters
_ Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7,200.00
Generator
_ Windows/Doors ^ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hutchinson Island Beach Club Condo Association
Name: LUKE WALKER
Address: 10410 S Ocean Dr.
City: Jensen Beach State: T-
Zip Code: 34957 Fax: N/A
Phone No. 772-229-3006
Company: TREASURE COAST AIR
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail TCAC1990 ,ATT.NET/TCACSVC ,ATT.NET
State or County License CAC058476
E-Mail: INQUIRY@ISLANDBEACHRESORT.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
It value of construction is Z5U0 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x 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 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 recordi ur Notice of Commencement.
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'gnature of wn Lessee/Contractor as Agent for Owner
Signatur of Contractor ice Holder
ATE OF FLORIDA
COUNTY OF 14141Z Ll/
STATE OF FLORIDA
COUNTY OF 1-li lZ 7/1/
Swor o (or affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Ja day of /-14gd= 202D' by
L,,Physical Presence or Online Notarization
this _3a day of /� �/1/!�/� 202p by
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Name of person making statement.
Name of person making statement.
Personally Knowny/OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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Produced
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(Signature otaryPublic- State of Florida )
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