HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
ALI
AL1�—".r?PLICABLE INFO MUST BVCOMPLETED'FOR APPLICATION TO BE ACCEPTED Date: 11/16/2015 1} SCANNED Permit Number: 0 1 " 41
BY
St. Lucie County
BuiJ ling Permit Application
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
PROPOSED IMPROVEMENT LOCATION: /�j39ip
Address: 13 Gilson Road Palm City, FI. 34990 13 3=CM /U lt% Ey /L-sp,tj
Legal Description: HARBOUR RIDGE -PLAT 2- TRACT TC-1(7.94 AC) (OR 928-2626) 1PRvM 0 / -,-`i .30
Property Tax ID #; 4425-701-0016-000-4
Site Plan Name:
Project Name: Harbour Ridge Sales Center
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Construction of New Sales Center
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION: , III
RjHVAC IJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 1,517
Cost of Construction: $ 187,743.92
—cneCK a
Piping LJShutters
nklers 1:1 Generator
_ Sq. of First Floor: 1517
Utilities: LJSewer Septic
✓❑ Windows/Doors
RI Roof
Building Height: 20`7"
OWNERAESSEE: Harbour Ridge Country Club, Inc.
CONTRACTOR: Proctor Construction Company, LLC
Name Petercavitt
Name:"�°'^r� Fin
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
Address: 2050 US-1 Suite 200
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772.234.8188
Phone No. 772234.8164
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 Coun License•
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. a9 19,
9, 1
SUppL-E IENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE516/VER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Nate Peacock and LewaAscbilecs and Planners, U0 1
Name:
Ad dress: 1295 US Hgb ay one (3d Pace)
Address:
City: State:
Zip: Phone:
City HdPaindh Palm Beach \ State: FL
Zip: Phone: 561.626.9704 1
FEE SIpAPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: X Not Applicable
Name: Harbour Ridge Country Club, Ino.
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 i5 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 our Notice of Commencement.
;;ginature
�Hs
of Owner/ Lessee Age t
Signature o 'cense
STATE OF FL
COUNTYOFORI A i/.!.➢1 rlv-tr,
STATE OF FLORIDA
COUNTYOF �� aji 01of
The for ing instrument was acknowledged before me
this _r day of_Gah1joifrV 20 lie -by
The forgoing instrument was acknowledged before me
this-7 dayof .)"MafV 20 I(o by
r
� nald I: Tllit�r
&nalld L--ro of
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State 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. FP)ual0 (Seal)
Commission No. I I j30D/b (Seal)
carry
Revised 07/15/2014 ,'�"°� °`o';o VALERIE D BROWN
:�@ Notary Public • State of Florida
rr'rN4,
•O�g4 VALE D BROWN
M .Comm. Espir s Aug 12,2018111,
PLANS VEGET I, of EATfQ¢IdNAlon f6AA.Edf 0
EVIEW REVIE
REVIEWS
FRON '%rrr 1VINGOomml"i�EfKVIJN
COUN
p�t3a�6
DATE
COMPLETE
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN,LAW (INFORMATION:
DESIGNER/ENGINEER: x Not% Applicable
Name: Peacock and Lewis Architects and Planners. LLC
MORTGAGE COMPANY: Not Applicable
Name:
Address: 195GSNI9hway.n.(and N..r)
Address:
City: NadhPalm Beach ) State: FL
City: State:
Zip: M408 Phone: 561.62697N
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: '_Not Applicable
_
Name: Harbour Bid,.C.untry ClubJmn
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 Countyy 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
g re Luf Owner/ Lessee/Agent Signature cervle Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrurnient was ackno ledge �° re me The forgoing instrument was acknowledged before me
this�q day of 1By this day of '�{ f�)�4e i`ti ✓20 � by
�5tit i 14 0 l ykL_- l_ ` L 0 LL i2_
(Name of personlacknowledgii (Name of person acknowledging)
"A —
(Signature of Notary ublic- State Florida) (SigPiature of Notary Public- St/at of Florida )
Personally Know Personally Known 'OR Produced Identification
Type of Identifi Ra d Type of Identification Produced
Notary Public - State of Florida
Commissio o. M Comm. Eoirsil)Apr 10. 2018 Commission No.
'•;Fo<<.oP•` Commission M FF 82195 16, °�e o" MAUREEN DI MARIA
Notary Public State of Florid,
-
-, y. My Comm. Expires Apr 10, 2018
Revi d 07/15/2014 °,,o. ;;?�' Commission N FF 82195
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
n
COMPLETE
G
INITIALS