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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL'V 'r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/16/2015 SCANNED Permit Number: © T Q4 BY St Lucie County SCANNED Building Permit Application BY Planning and Development Services St. Lucie County 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: Building PROPOSED IMPROVEMENT LOCATION: Address: 13400 Gilson Road Palm City, A. 34990 Legal Description: HARBOUR RIDGE -PLAT 2- TRACT TC-1(7.94 AC) (OR 928-2626) Property Tax ID #: 4425-701-0016-000-4 Site Plan Name: Project Name: Harbour Ridge Lifestyle Center (Tennis/Center/Tennis) Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: Demolition of existing Tennis and Fitness facility and replacement with new Lifestyle Center CONSTRUCTION INFORMATION: HUUMUIIdI WUIK LU UC ZHVAC PUI IUI II ICU 1:1Gas Tank UIIUCI LIIID E]GasPiping PCI II IIL—L.I ]CUR U11 2011ply. _Shutters Windows/Doors 0 R1 Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 18,566 S Ft. of First Floor: 18,566 Ft Cost of Construction: $ 3,303,819.70. Utilities: OSeptic Building Height: 47'-7^ OWNER/LESSEE: Harbour Flidge Country Club, Inc: CONTRACTOR: Proctor Construction Company, LLC.-„ ; Name t *p-t3Ov P, TZ 1�Y Cu B Name: 401"r�.DO Address:12600 Harbour Ridge Blvd Company: Proctor Construction Company, City: Palm City State: FL Zip Code: 34990 Fax: 772-336-8938 Phone No. 772-336-3000 L Address: 2050 US-1 Suite 200 ' City: Vero Beach State: FL Zip Code: 32960 Fax: 772.234.8188 Phone No. 772.234.8164 E-Mail: p•cavitt@hrycc.org Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Igranath@proctorcc.com State or aunty Li ense. If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. a�� MW SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;, DESIGNER/ENGINEER: x Not Applicable Name: Peacock and Lexls aNitens aed Plenne,s,UC MORTGAGE COMPANY: Not Applicable Name: Address: 1295USHlgM1 ayone (9,dFloor) Address: City: NOMftlre&a State: FL Zip: amoa Phone: 561.626.9704 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Harbour Ridge Gauntry Club. Inc BONDING COMPANY: . Not Applicable Name: Address: Address: City: City: Zip: Phone: 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. _ Sign ure Owner/ Lessee/Agent Signature of Contractor Licen Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for oing inst[�uqyn, ent was <nowledged wore me this a` day 20 i by The for oing instrument was acknowledged before me this day of Mdyen� � r, 20 �by of t P o jq'C �bt7 P % L:V) L. 7-0 LL.11/ (Name of perso cknowledging) — (Name of person acknowledging) r t � (Sig ure of Notary Public- Stat of Florida) (signature of Notary Public- S of Florida ) P rsom Ily Known � �4f4 Personally Known OR Produced Identification ype of Identification Pro ' " ' , MAIJRFFN IN MARIA Type of Identification Produced E Notary Pu011c -State of Florida Commission No. =.' .e My Coma Iles Apr 10. 2018 " F Cammisslon FF Commission No. W rm„ Sea y""s//�, MA BEEN DI MARIA „0<<1,,,,•' N 92195,°, _ . t.s Notary Public -Slate of Florida Expires Apr I -on Commission # FF 8 , ' 2195 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE q / COMPLETE INITIALS 1W . _. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Addres Peacock and Lewis Ara tecls and Planners, LLC S1 1295 US Highway one (3rd Flaw City: Nodh Palm Beaeh Zip: 33608 561.626.9704 FEE SIMPLE TITLE HOLDER: Name: Haf ,Rdge CounUy Club,lnc. Address: City: Zip: Phone: _ State: FL Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: . Not Applicable Name: _ Address: 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recordine your Notice of Commencement. _ Signature STATE OF FLORIDA STATE OF FLOJDA COUNTY OF :Qk&O 1 R l_lfe COUNTY OF . 14dic'fl I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of.ACu1 LAAC4 20 Eby this 2 day of ,1[,,n,, 20 by �ora 1d L- 1'olli,�c✓ (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known Z OR Produced Identification Type of Identification Produced vi" b&=::- (Signature of Notary Public- State of Florida ) Personally Known V/ OR Produced Identification Type of Identification Produced Commission No. Ffi 3DO , (Seal) Commission No. r I (Seal) tour,,. Revised 07/15/2014 , o °U0, VALERIE 0 BROWN E Notary Public • State of Florida NI '_ ®: Notary Public • State o1 Florida , ee1 My Comm. Expires Aug 12.2011 ------ •g•: