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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