HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC B ,INFO `U BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: Permit Number: 112Cs— V 0 1 `Q
riznMT
Building Pe"E NED 'cation �I�A�Y 6 016
Planning and Development Services (�� � ll
l�L� Public Works
Building and Code Regulation Division BY St. Lucie county, FL
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: - C4�i`M(�cl`� (•���
PROPOSED IIVIF?ROVEMENT LOCATION
Address: 13400 NW Gilson Road
r
Legal Description: HARBOUR RIDGE -PLAT 2- TRACT TC-1(7.94 AC) (OR 928-2626)
Property Tax ID #: 4425-701-0016-000-4 Lot No.
Site Plan Name: Harbour Ridge Tennis Fitness Pool Block No.
Project Name: Harbour Ridge Yacht & Country Club
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OEWORK;'
Construction of three (3) new tennis courts with tennis court vinyl coated black chain link fence.
Also, black tennis court lighting on one (1) court.
=CONSTRUCTION•` INFORMATION:`.
Additional work to e e orme under t—checkispermit a apply: r
11HVAC be
[]Gas Piping _Shutters Windows/Doors L
❑✓I Electric El Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 179,190.00 Utilities:cnSewer OSeptic Building Height:
0.1NNrER/LESSEE:` .. ; `
CONTRACTOR' t
Name Harbour Ridge Country Club, Inc.
Name: George Todd III
Address:12600 Harbour Ridge Blvd
Company: Welch Tennis Courts, Inc.
City: Palm City State: FL
Zip Code: 349990 Fax:
Phone No. /� 1 �J_
Address: 4501 US Hwy 41 S
City: Sun City State: FL
Zip Code: 33586 Fax. 813-641-7795
Phone No. 813-641-7787
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: g3@welchtennis.com
State or County License: CBC1251796
it vaiue or construction is aL.)UU or more, a ntt.unutu Notice of commencement is required.
h
SUPPLEMENTAL CONSTRUCTION; LIEN LAW INFORMATIQ.N
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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
/A .a
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID
COUNTY OF P Ltit, 1-
4-
The forgoing instrument was acknowledged before me
this _U_ day of _*a 20 IMby
STATE OF FLORID /
COUNTYOF Hil�siaet"? 1
The forgoing instrument was acknowledged before me
this _Ledayof1*11 / .20 _ZLby
W" t - com*l W (&ry c Tod(/ /.
(Name of person acknowledging ) - (Name of inrson acknowledging )
(Signature of Notary Public- State
Personally Known _ OR Produced Identification
Type of Identification Produced
Commission No. Y`'11-05LLI
Revised 07/15/2014
(Si ture of Notary of Florida )
Personally Known Y OR Produced Identification
Type of Identification Produced
HEATHER HAR IM` n No. f7=p123y7
MI COMMISSION FF 942534
Boded Thm
,,,(Seal) JOELBLACK
„FI MY COMMISSION It FF
Bonded Thra Budget Notary Senlces
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
b
INITIALS