HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �`'
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Date: 2/23/2015 a5l �� Pr: i5oa_ D✓2 "96AB"�'
WINd�'S�nL (� &ermit
St. Lucie Countv RECEIVED
Build Application
Planning and Development services FE9 2 5 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x ResidefSfiaLcie Countv, FL
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 9000 Clubhouse Dr, Port St.lucie, FL 34986
Legal Description: 22 36 39 THAT PART OF (GC-1) LYGIN SEC 22MPD: THAT PART OF SE 114 OF SEC 21 AND THAT PART OF SEC22 AS IN OR 542- 51
LESS AS IN OR 680-1278 AND 683-2171 (MAP 33122NS) (118.08 AC) (993-381)
Property Tax ID #: 3322-122-0001-000-0 Lot No.
Site Plan Name: Legacy Golf Block No.
Project Name: Legacy Golf Fence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
'3�%Wk 4?-e.oti,�� 70t'- of 49-co ors 150"_n Gew --� -i;0 Er005-k
-,&HStr� VA .YI+�.-`-. ?Wr -h bJ- 5.•-4- (-(�C1, C. wi`L1 G'
CONSTRUCTION INFORMATION:
d(ona wor to e e ormed under t(spermit-c ec a apply:
HVP Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
O
0 Electric Plumbing []Sprinklers 1:1Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction:
S Ft. of First Floor: _
Utilities:I] Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTYRINGHAM RIDGE INC
Name: RICHARD GULASH
Address:3468 VISTA GRANDE BLVD.
Company: RICHCO RESIDENTIAL CORP
City: CARSON CITY State: NV
Zip Code: 89705-7147 Fax:
Phone No.
Address: 2190 NW RESERVE PARK TRACE # 3
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax: 772-264-3311
Phone No. 772-465-3323
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: richcocorp@dchcoresidentialcorp.com
State or County License: CRC1329670
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION: I
U651GNtK/tNGINttK: : Ivoi Hppucaote
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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 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
before the fiyy�� inspection. If you intend to obtain financing, consult with lender or an attorney before
commencirt torlCbr recordin2 vour Notice of Commencement. A i
_ SignaAre of Owner/ Lessee/Agent
STATE OF FLORID STATE OF FLORIDA
COUNTYOF � 1 AD�.O COUNTY OF Sn'% i—vt1t#
The for g inst nt was acknowledged before me The forgoing instrument was acknowledged before me
thi day of J 20 �by this I !� idaay of � 20 I� byl,
(Name of person acknowledging ) (Name of person acknowledging )
Notary Pure- State
State of Florida )
Personally Known OR Prodyced Jcjen Ification Personally Known X OR Produced Identification
Type of Identification Produced L (a7 Type of Identification Produced
6 8 7-7
Commission No. LASMAHNAINGR fission No. EE e I)
Notary Public -State o1 Florida ,.�„n. =�'•,, TALENA C. leBEIK
Up
",' Commission # FF 177249 %'= My Comm. Expires Feb 15. 201!
Revised 07/15/2014 '
i i "I'll ..,. 90naed through National Wiary Assn. ;• Commission # EE 64977
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REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
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REVIEW
DATE
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INITIALS