HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL IPPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Da Permit Number: l
I,
nnnn �.. MM..:RECEIVED
-Buildin Permit A Iicatio.n
Plaq� ing and Develop► e' ntSe'rvices SEP .1,0. 2018
Buil� ing and Code Regulation Division. .:.. ' Permitting Department
230b Virginia Avenue; Fort.Pierce FL 34982 Lucie County
Ph �ne:.(772) 462-155.3 Fax" .(772) 462-1578 . Commercial Residential R.
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11PERIlAITAPPLICATION FOR: Alteration
13013.N.W, Harbour Ridge
Addr ss: St LuCiP C'ni mt�.'
Legalescription: HARBOUR RIDGE -PLAT 16- FIGTREE VILLAGE UNIT 21 (OR 3775-1404)
4426-830-0023-000-6
Prop y Tax ID #: Lot No.
Site P an Name: Block No.'
M er- Residence
Projet Name:: y
Setb 'fa
Front Back. Right Sider Left Side:
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DET, I,LED'DESCRIPTION OF WORK
Alterati In see plans-..
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CONSTRUCTION INFORMATION
_.. W
i , nal work to e e orme . un er this permit — check. a _' j app y.
.I .
VAC E] nk Gas Ta.:E]Gas Piping : Shutters ✓Q Windows/Doors
rl.
Electric `� -Plumbing Sprinklers Generator Robf Roof pitch
Total q. Ft of.Construction: S Ft. of First Floor: :: J 7 So
Cost:o Construction: $: / OOO Utilities. Sewer Septic Building. Height: �6
OWNFER/LES
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SEE �ti.�. •rob& , M. ..,.3'., �c, r,.,I�,M,- M . a�'"+k.�;.,. e'-S��
CONTRACTQR '
°t� ?',�i.
Name�131
Name: G"& %j0&Ahib6
AddrN.W
City:
.-Harbour Ridg Blvd.;. :::
Company:.: GM Construction
Address: 313 SV1/Alkiany Ave
PIm City ::. State: FL.
Zip C.
de: Fax:
. L.
City:. 5in4 r.17 State: F
Phone
E-Mai
No. — o'�
34994
Zip Code. FaX1 8
Phone No. (772) 781:--8500
f.�
ee situp e T 16 Hol er on next page ( if different
a Owner listed: above) _ .. .. , ,
Fill in
from t
E-Mail:.esti ating2@gmc . m onstructionllc corn
049743
State:or County License: CG C....
If 7alue° f construction is $2500 or more, a_ RECORDED Notice of Commencement is required.
IN
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I,
DESIGNER/ENGINEER:
Na
Ad
Cit
Zip
Not Applicable
e: eogaW 4 J4115odw—wr6sName:
ress:1 1V F52q0iPgiMQ&&J Rb
MORTGAGE COMPANY: _ Not Applicable
Address: 13101 N.W. Harbour JVftyd.
City: State:
.Zip: Phone:
State: _
Phone ?91-a71, G d 2`j
FE'l
Na
Ad
City:
Zipl
SIMPLE TITLE HOLDER: _ Not Applicable
e:
BONDING COMPANY: Not Applicable
Name:
Address: N a
ress:313SWAIbanyAve A9 „
City:
Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert iy that no work or installation has commenced prior to the issuance of a permit.
St. Lu' ie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struc Ire. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cor 'sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
acces$I ry 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo first inspegQon. If you irntend to obtain financing, consult with lender or an attorney before
co enc ne work (jr cordma vo5r NoAce of Commencement''% /I /! /I I
re
as Agent for Owner
STATE OF FLOR1DA STATE OF FLORIDA.
COUNTY OF N1GCOUNTY OF art
The orgoing instrument was acknowledged before me
this dayyof �on1r._m4ar,✓ ,20tS by
Name of pLWon tfn�king statement
Perslonally Known ✓ OR Produced Identification
Tvoe�of Identification
re of Notary Pulflic- State of Florida )
No.F(-- q 99 67 3- (Seal)
The forgoing instrument was acknowledged before me
this l0 day of 5S4. kL^Alei 2011 � by
vr' �('b
Name of pef on king statement
wn Personally KnoR Produced Identification
Type of Identification
Produced
US�� IsU�XX
(Signature of Notary Public State of Florida )
Commission No--F-CAgq }1 a— (Seal)
RET%IEWS
FRONT
ZONING
SUPERVISOR
PLANS
I VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE,
Rev. 8/2/17
LAURAJ.COLWELL P4" LAumi.CoLwELL
o�,ArPu". c �o�r%
MY COMMISSION # FF 999072 My coMMISSION # FF 999072
April 6, 2020 EXPIRES: Apra 6, 2020
m e EXPIRES:
NOtuy Sevi-
9fFOF
Bonded Thor Budget Notary$W*6S Ft ��` Banded T1uu Budget