HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/10118 Permit Nurribera=180
SCANNED
BY
Building Permit Application St. Lucie County
Planning and Development Services RECEIVED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 SEP 112018
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Window/door Lucie county III
I PROPOSED IMPROVEMENT LOCATION: III
Address:
Legal Description: Parcel # 4511-514-0000-00019
Property Tax ID #: 4511-514-0000-00019
Site Plan Name:
Project Name: Hutchinson Island Club
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Replace Front Doors Red ciz 52 or!5 aoJ S fly
U.vt-
I CONSTRUCTION INFORMATION: III
LJHVAC L JGasTank
Electric 0 Plumbing
Total Sq. Ft of Construction: NIA
Cost of Construction: $ 52,000.00
Piping
LJ Shutters
FiGenerator
5 Ft. of First Floor: _
Utilities: Sewer E]Septic
QWindows/Doors
EIRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name &IgAVo,467 tlW&SName:
Address: /o u6c, S. b CC4-c✓ f 2 •
Company: The W Group, Inc.
city: �crW5 d-W X(f A4 State: FL
Zip Code: 34957 Fax: � a2o`Ig- �S
Phone No. (772) 229-0357
Address: AKOf/ LrJcy
/5
City: 'QC- A, err i/ State: Fl-
Zip Code: 34990 Fax:
Phone No. (772) 220-1930
E-Mail: by 4cJ1i s 1 G/ cLb (SL aa/ , C-om
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Tomflynn@twgcontractors.com
State or County License: CGC1505177
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: - I Not Applicable
Name:—,�-cpVlr` (breA 2yibat h
MORTGAGE COMPANY: Not Applicable
Name:
Address:53 Si✓ P;Ir>4 yJcu-j
Address:
City: S State: 'F�
Zip:Phone 93 Ll- 143
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: XNot Applicable,
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 ano 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
commencine work or recordine vour Notice of Commencement.
e�' � C
Signature of Owner/ Lessee/Contractor as Agent for Owner
Si a of Contractor/License Holder
STATE OF FLORIDA
S4. Lu G
STATE OF FLORIDA
COUNTY OF S7/• 4uc 2
COUNTY OF
The fors instrument was acknowledged before me
this 16 day of �rD% 20 /8 by
The forgoing instrument was acknowledged before me
this � day of l /aa 20L by
IQe4er c54,g l" i le-
Name of person making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known 1/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ti� i 1dal
(Signatu e Pu - e RROA
3, Yy COMMISSION fi FF969259
YY COMMISSION p FF969259
�C
Com 11itl. EXPIRES March 08.20245e )
COmm155 O EXPIRES March 08. 2fQ@al)
,+cr,iviwrs3 n..brmu sw..;um
1+0,39"153 rinuenw uv .r
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
I-!
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
J Date: 51QI a 0/0 Permit Number: 1 ��' b;) 38
RECEIVED
Building Permit Application
J T • 1 120)8
Planning and Development Services i
Building and Code Regulation Division ST. L+:cie Ceunty, Permitcr,q
2300 Virginia Avenue, Fort Pierce FL 34982 __T•__.
Phone: (772) 462-IS53 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: / 6 016 S. OGe1Ln b , Tel? Seh 6eeqoA . )E�L ? L o/s- 7-
Legal Description: S-e�
Property Tax ID #: EJJ - 0 — O� Lot No.
Site Plan Name: �✓-'07� � s � dja Lkl_ drl7lni[ein Block No.
^d1
Project Name: p76/e 5&n / -D00%^ Pro iecri
Setbacks Front Back: Right Side:y Left Side:
DETAILED DESCRIPTION OF WORK:
Repl cv-.e-- rja - C c,l.vb rs CL nd Frurries 46 r
CONSTRUCTION INFORMATION:
Aaamonal work to e ertormed under tispermit-check all apply:
❑HVAC �Gas Tank ❑Gas Piping Windows/Doors
_Shutters
�
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: Ft. of First Floor:
/J /
Cost of Construction: $ � tilit�Sewer ❑ Septic,__�Buildin Height: —f
i
OWNER/LE
lt0NT;RACTO,R;,ikc,: r, y
Name:`2
1
v� n
Name 9r9 alarm
Address: i 8 "'T' '° ;' : •
° __, .... %Yri 12�i i
Company:. i G, 5 71rtGiS
City: L' eCt s.ae ''••.,,,State:`TL
Address: �5)(0 urno.. _T))^.
City: nll c_ -n State:
,</
Zip Code: �✓y l�yZ Fax: 07 9= fS
PhoneNo/. ��a-o`{- G%-�35�
Zip Code: -_ (o Fax:
E-Mail=/lit-cA;-sl'C.l6!%e' Crn%,L'�lYl
Phone No. �a abl-L-lasq
Fill in fee simple Title Holder on next page ( if different
E-Mail: cm , czry'11
State or Cougty License: Q-Bei4 5 L S �—
`from the Owner listed above)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
2ol-y a.S�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: -
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or angcovenants 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. A
I
Signature of Owner/ Lessee/Contractor as Agent for Owner
ignature of Contractor/Lice se Holder
STATE OF FLORIDA/•
STATE OF FLORIDA
S56 GyC/
COUNTY OF LLIC'�/�
COUNTY OF '
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this�day ofm� 20A by
this�dayof .T(/i7/L—� 20 by
kAf-� le- , S�Ye r _
u�/�/�r�
Name of person making statement
Name of person ing statement
Personally Known L/' OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary I' 4T&X8"dSION a FF959259
(Sign
Ex �t� omh 0a.2020
Commission No. two!
Corn "No4r FAft-.fM11M{�I�j,
g INMI,
M' Oonpii. EOM IMr 1b l0!
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
1�-)
RECEIVED
DATE
COMPLETED
Rev.8/2/17