HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n I�
Date: Permit Number: `—I�
Building Permit Application St. SuBYNED
Planning and Development Services Lucie county
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 To Select from dropbox click here II
PROPOSED"1h/IPROVEiVIENT LOC, IONfc
Address: HUTCHINSON ISLAND CLUB 10410 S OCEAN DR JESEN BEACH FL 34957
Legal Description:
Property Tax ID #: 4511-514-0000-000-9
Site Plan Name: HUTCHINSON ISLAND CLUB
Project Name: HUTCHINSON ISLAND CLUB
Setbacks
Back: Right Side: Left Side:
ELECTERICAL REAPIARS TO ELEVATOR MACHINE ROOM
Lot No.
Block No.
HVAC
Gas Tank
❑Gas Piping
❑
Shutters
❑
Windows/Doors
Electric
0
Plumbing
[]Sprinklers
❑
Generator
❑
Roof
=
Roof pitch
Total Sq. Ft of Construction: ,, r
Cost of Construction: $ GO,7• 09
S"Ft
of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
011VNER/LESSEE
,.
_ v _ . =
;CONTRAGOR ' r,
.:.
Name HUCTHINSON ISLAND CLUB
Name: J12. (1
Address:10410 S OCEAN DR
Company: Ql"W fied 1C, IrX.
City: JESEN BCH State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 2369 W 78TH ST
City: HIALEAH State: FL
Zip Code: 33016 Fax:a. .0 -SM-1j(40
Phone No. 3058058166
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: PERM ITTING@AUSTENELETRIC.COM
State or County License: EC13001529
II If value of construction is $2500 or more, a RECORDED Notice of Commenceme t is required. II
23 ��'�
Si1PPLEMENTALONSTRUCT101V
LIEN`L?AWINFQRMATION— ro
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r
DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in coriNt 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 reviewyour 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
STATE OF FLORIFIA STATE OF FLORIDA
COUNTY OF L //��11 COUNTY OF �'t►llaiJw
The for oing instrument was acknowledged before me
thiso2dayofr 20/-7—by
4It
person
- Personally Known r
Type of Identification Pre
Commission No.
-Revised 07/15/2014
MY . Mpry'tISSION 0 FF969Z
g A, S March 08. 2020
The forgoing instru ent was acknowledged before me
this � day of � tl�. 20 by
,ZewYl l c;
(Name of person acknowledging )
of
of N ary P blic- State of Florida )
Known V-_�OR Produced Identification
No.
ILIANA C CURRY
EXPIRES May 07. 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
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REVIEW
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DATE
COMPLETE
2447
INITIALS
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