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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