HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / I
Date: Permit Number: v - 9 7
R CEIVED
�'I. LLB- LL 3 APR - 7 2021
Permitting
BuildingPermit Application tLuie Department
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: to vma J( +-,o l fj i Im fl C,
PROPOSED IMPROVEMENT LOCATION:
MU I V%JV J C/ C ► r I V c J t 4 J C/L JJ c R-[ •l /— 11 • J- J
Property Tax ID #: 14 5 0 Z S 0,4 000 p 00 0 0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: r
'Denottl oo o.f S choA- 0f Por'-r`[O C'CJJcKt, -,Pot f-meq-tpf �Y
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: $ l/
_ Generator
Sq. Ft. of First Floor:
Windows/Doors - _ Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name gu"tmon Bead► Club IS60C
Name: Luis Pe.crt0_hJo
eeye
Address: 0%%o0 5. Oc_c.a n zk ,
City: '_Sjeh5art State:5L
Company: (gagger Xes 4ve.
Address: Sic3 `( rZ Leo Co
htdo b
�.�`r 4 y
4 6olden a ga f
C i /CLa
City: l,ak Wor%,K
Zip Code: 3-
5 q G 3 Fax:
Phone No j5 40 601 30614
State:
Zip Code: Zg9c;J Fax:
Phone No. -1-1"). 9 71 ' �` 4 3
E-Mail:Vn%)3C.(�rape+ . Maroae�m i�w�l�LoiM
Fill in fee simple Title Holder on next page ( if different
E-Mail a 1 ky%
1
from the Owner listed above)
State or County License ( G C.
t 1 D
3 H
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 y u intend to obtain financing, consult
with lender or an attorney before commencing work or recordin Notice encement.
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Signs ure of Owner/ Le see/Contractor as Agent for Owner
Signature of rontractor/License Holder
STATE OF FLORIDA
STATE OF FLO DA
COUNTY OF , ,,, _
COUNTY OF —j- U,
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this day of 2020 by
this day of'(1�' (e 2020 by
Lrn L ► `ire cz�s
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X ORiroduced Identification
Type of Identification
Type of Identification
Produced
Produ d
i
J 4
(Sig at e of otary Pub
Ig ature of Notary Public ( tla, Puc!Ic fate of Florida
v�"t. MARYERlCMETFJLI
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Commission No. :.. .: ITt
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
I
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N,Lti`
Hutchinson Island Beach Club
9800 S Ocean Dr
Jensen Beach, FL 34957
Portico Ceiling Emergency Repairs.
Proposal
April 5", 2021
Please find the proposal of Golden Construction Corp, which is organized and existing under the laws of
the State of Florida.
The undersigned Bidder, having familiarized itself with the existing conditions of the project area,
affecting the cost of work, hereby proposes to furnish all supervision, technical personnel, labor,
insurance, materials, machinery, tools, services, appurtenances, equipment, utility and transportation
services required to complete the contract for the aforementioned project.
The undersigned Bidder proposes and agrees, if this bid is accepted, to enter into an agreement with the
Owner and to perform and furnish all work as specified or indicated in the Proposal/Contract
Documents for the Contract Price indicated.
After a recent inspection of the project, we are pleased to submit the following proposal for your
upcoming project.
Scope of Work:
1. Set up necessary protections. (Plastic Wall approx. 40 LF to limit the
dispersion of dust)
2. Remove section of ceiling that is loose and falling. (Aprox 20'x8')
3. Waterproof Densglass drywall to be installed on repair area.
4. Install Densglass drywall in repair area.
5. Apply first coat of stucco on ceiling, then apply a texture coat to try to
match existing.
6. Paint repaired areas (Paint provided by Bldg.)
7. Inspection of the repairs
8. Remove all protection.
9. Demobilize.