HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/28/14 Permit Number: 1404-0063
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 l Commercial X Residential
PERMIT APPLICATION FOR: 'To Select from dropb'ox, click arrow at the end of line
PROPOSED IIVIPROVEMEIVT LO`CATIOfV
Address: 1916.Perfect'Drive, Port Saint Lucie,l FL 32035
Legal Description: Clubhouse Addition
PropertyTax ID #: 3327-200-0001-0000/4
Lot No.
Site Plan Name:
Block No.
Project Name: PGA. Clubhouse Addition
Setbacks Front Back:
Right Side:
Left Side:
.�?
DETAILED DESCRIPTION OFF WORK
r:
r F '� ..At
_
Temp Modular Trailer for General Contractor office space.
CONSTRl1CTION INFORMATION f {' r a
Additional work
to n orme un
er t is permit- c ec�a
app y:
[1HVAC
_ Gas Tank
Gas Piping
Shutters
Windows/Doors
Electric
El
Plumbing
Sprinklers .
Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 3,0 o d OC10
Sq. Ft. of First Floor:
Utilities: I I Sewer E]Septic
Building Height:
=OWNER%LESS'EE r<" r
w .,
CON, RAG R ",
; .. ..r ,..
Name PGA Reserve, Inc
Name:
.Address:1916 Perfect Drive
Company: Kast Construction
City: Port St. Lucie State:fl
Address: 701- North .Point Pkwy Suite 400
Zip Code: 34986 Fax:
City: West Palm Beach State: fl
Phone No.
Zip Code: 33407 Fax: 561 689-2911
E-Mail:
Phone No. 561 689-2910
Fill in fee simple -Title Holder on next page (if different
E-Mail: broe@kastbuild.com
from°the OwnerIisted.. aboye)..
State or County License. CGC1519692
If value of construction is $2500 or more, a.RECORDED Notice of Commencement is required.
zSU.PP E-MENTAL CIJ'NSTRhJCTION LIEN LAIN I,N'F®R< Ai-10'N;:
DESIGNER/ENGINEER:—, Not Applicable
MORTGAGE COMPANY: - Not Applicable
'Name: Basham & Lucas Design Group
Name:
Address: 7645 Gate p" # 201
Address:
City: Jacksonville State: FL
-City: State:
Zip: 32035 Phone: 904.607-4323
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING: COMPANY: X Not'Applicable
Name: PGA Reserve, Inc
Name:
Address: 1916 Perfect Drive
Address:
City: Port St. Lucie
City:
f
Zip: Phone:
Zip: 34996 Phone:
j.
i
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 r view: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory us .to another non-residential use
.WARNING TO OWNER:. Your. failure to Record a�Notice of Commencement m result in your paying twice for .
improvements to your property. A Notice of Commencement must bee rded and posted on the jobsite
before the first inspection. If you intend to obtain financi , c suit ender or an attorney before
commencine work or recordine vour-Notice of�Commenc
Signature of Owner/ Agent/ Lessee
Signature of
Holder
STATE OF FLORI A STATE OF FLORIDA 6 n _- ,(��,
COUNTY OFG(wt BQac.L. ! COUNTY OF �l bJ��'� 1
.The forgoing instru ent was acknowledged before me
this*) day of 20 14. by
C7akIr �I
(Name of person acknowledging) I
(Signature of Notary Publ' State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Comm
ANOM T.`tKANAND
Revised My Comm. Ettpk" JIW 21. 2017
Comminlo Off 037950
The for instrwe� nt was ack1nowledged'before me
this day of � Q 1 2014 by
&,� &0 o M L ,)
(Name of person acknowledging)
1\O
(Signature of Nota ublic- State of Florida )
Personally Known
Type of Identification od 0,% LISA FIELDS
.`� Notary Public - State of Florida
Commission No. 3' My Co1%Mplres Oct 10. 2017
;�,��"�o.•' Commission N FF05M9
Bonded it wifi ftonU W nr Ana
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