HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr �-•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/02/2015 SCANNED Permit Number:��p�
BY e
t _ St. Lucie County DEC - 2 2015
Public Works
Building Permit Application
St. Lucie County, FL
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: Building
Address: 13400 Gilson Road Palm City, FI. 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 Storage Building
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Construction of Low Hazard Storage Building
Lot No.
Block No.
CONSTRUCTION INFORMATION:
A-daitionaiworKtoi3enertormed under tis permit— cheCK all apply:
OHW LJ Gas Tank Gas Piping _ Shutters Z Windows/Doors
Electric Plumbing _Sprinkles pd ElGenerator RI Roof
Total Sq. Ft of Construction: aao p pps 192 S Ft. of First Floor: 460
Cost of Construction: 0S�`— Utilities:�Sewer Septic Building Height: 12'-8" Mean
OWNER/LESSEE; Harbour Ridge Country Club, Inc.
CONTRACTOR: Proctor Construction Company, L' C
Name Peter
Name!-Jak-Om1°a^' n
Address: 12600 Harbour Ridge Blvd
Company: Proctor Construction Company -WC. G
City: Palm City State: FL
Zip Code: 34990 Fax: 772-336-8938
Phone No. 772-336-3000
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: jgranath@proctorcc.com
State or County License: CGO1522209
If value of construction is $2500 or more, a
of Commencement is required.
i
Fs —uPPLEM
N`LIEN LAW'I
DEW (iIVIt: K/It: N(alNttK: x Not Hppllcaole
MORTGAGE COMPANY:
x Not Applicable
Name: Braden and Braden AAA, PA
Name:
Address: <,) SE Coconut Avenue
Address:
City: Stan State: R.
City:
State:
Zip: 9a996 Phone: n4281.6269
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
x Not Applicable
Name: Harbour Ridge Country Club, Inc.
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. �
_ SignkQ_rrg,6f Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF fc ►Zivo
The forgoing instr ment was acknowled d before me
this "day of R( J5by
(Name of person acknowledgin
(Signature of Notary Pu ic- State of Florida )
Personally Known OR Produced Identification
Type of Identificati n Produced
Commission No f 13001E (Seal)
STATE OF FLORIDA
COUNTY OF � IQI) �iJkf
The forgoing instrument was acknowledged before me
this Z day of L/y-MW f 20 j_<j_ by
nod L.Tllivt(
(Name of person acknowledging )
a"w 6paw
(Signature of Notary Public- State of Florida )
Personally Known Z OR Produced Identification
Type of Identification Produced
Commission No. FFIW/l0 (Seal)
�o%pY �:c• VALERIE D BROWN ..oi�"`�Oya��.• VALERI
Revise O7/15/201 : , 2 Notary Public - State of Florida '; ; Notary Public - State of Florida
' ' M Comm. Expires Aug 12. 2018 N ; : ,_z My Comm. Expires Aug 12. 2018
•'••'•;�o
commis
ion B FF 13g016
.'„Fo,�o
ommasio
REV WS
FRO
�.o,°.•°�
PLANS
VEGE
E
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DytE
COMPLETE
(�
INITIALS
_4W
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: Braden and& den AIA. PA
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 41]SEC .m Rvewe
Address:
City: Swag State: FL
Zip: 3996 Phone: M.W.82M
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Harbour Ridge Geunn CWb. Inc
BONDING COMPANY: x 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 CommPn- 'n your paying twice for
improvements to your property. A Nlotira ^F ^---__ d posted on the jobsite
before the first ^�^- I I an attorney before
commeni
s
_ Signature) ilder
STATE OFI �J
COUNTY 1\ Yn•''�
The forigin I \` v ` INledged before me
this Z, daJ \ IJ 20 _L� by
(Name of pers! \V`
VIA
(Signature of N__ , Zcaie of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. F)3 01 Lt (Seal)
Revised 07/15/2014 '°�Pa, VALERIE 0 BROWN
Notary Public • State of Florida
Commission No. rf-1'b0O/L (Seal)
`:°�"��Y�••. VALERIE D BROWN
�`?�/ "11A� N. n..,.AAa
REVIEWS
FRON %:
.
y COMM
INGComm
EXPIteS Aug
PLANS
VEG
•% •'
P,•
l�y,C,omp� bE�aQi�resA f2 2018
SLrAArlssldrH G VE
COUNT
EVIEW
RE
„
IEVI""""
F
DATE
COMPLETE
INITIALS