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Building Permit Application
�r i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1404-0008 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Renovation P.R©POSED IIUIPRi1%EMfNT LtJCATION3 r Address: 1916 Perfect Drive Port St Lucie FL 34986 Legal Description: Property Tax ID #: 3327-200-0001-0000/4 Site Plan Name: Project Name: PGA Clubhouse Setbacks Front Back: Right Side: Left Side: Lot No. Block No. Remodel of existing clubhouse remove and replacement of walls, windows, doors, floor and ceilings Aaditional work o e er orme 1]HVAC 11 under this permit —check a apply: Gas Tank ❑Gas Piping _ Shutters ✓Q Wiridows/Doors 9 Electric 0 Plumbing Sprinklers E Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ `Q , Gyd , d d Utilities: Sewer Septic Building Height: _ Name PGA Golfclub Address: 1916 Perfect Drive City: Port St Lucie State: FL Zip Code: 32035 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: Kast Construction LLC Address: 701 Northpoint Parkway Suite 400 City: West Palm Beach. State: FL Zip Code: 33407 Fax: Phone No. 561-246-9297 E-Mail: broe@kastbuild.com State or County License: C 6 C 151 ?6 U. VOIUC U1 wnxruction is azsuu or more, a KtcUKDto Notice of Commencement is required. 5UPPLENNEN7A CGIVSTRUC�IC}N LIE �.A1111 INFQRMATION;: _ : DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Basham & Lucas Design Group Name: Address: 7645 Gate Pkwy#2o1 Address: City: Jacksonvilee State: Fl City: State: Zip: 32256 Phone: 940.731.2323 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: X Not Applicable Name: PGAGolf Club Name: Address: Address: 1916 Perfect Drive City: Port St Lucie City: Zip: 32035 Phone: 904.607.4323 Zip: Phone: 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 u s to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement result in your paying twice for improvements to your property. A Notice of Commenceme ust b c rded and posted on the jobsite before the first inspection. If you intend to obtain financi g o sul ender or an attorney before commencingwork or recordingour Notice of Commenc ent. z2 /P_ -14V Signature of Owner/ Agent/ Lessee ntractor/License Holder SignaturnORIDA STATE OF FLORIDA COUNTY OFCiItM STATE COUNTY OF The forgoing instrument was acknowledged before me The for g instr��RR��►►?'?ent was a knowledged before me this � day of S=gV+, 20 14 by this ay of 111.1i 2014 by hf .` (Name of person acknowledging) (Name of person acknowledging) a, —ac-L..; ac (Signature of Notary Pu lic- State of Florida ) (Signature of Notary Public- State of Florida) Personally Known �OR Produced Identification Personally Known 4oduced 1clentification Type of Ide. Type of Identificat n, ,cpcwgeLISA '• ANDREW T. SEe Commissio Ilc ��'z Notary Public - S to Of Florida Commission No. Comm. t �rN� y • •: - Strida Comm. Expires017 Oct 10, 2017,My '•.;pyjFF`�Commission # FF 05`�89 F11 _III1N /1111111\\ Revised REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS