HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs. IN
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f 0 I SC NNE'c) Permit Numb
1 -
Lucie Count„
Building 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
JUL 10 2018
Permitting Departmer
I St. Lucie County, FL
Commercial Residential'g
PERMIT APPLICATION FOR: Renovation' III
i PROPOSED IMPROVEMENT LOCATION:
Address: 12484 HARBOUR RIDGE BLVD 3-8
Legal Description: RIVERSIDE VILLAGE UNIT 3-8
Property Tax ID #: 4426-510-0024-000-0
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
RENOVATION & INSTALLATION OF IMPACT WINDOWS & SLIDING GLASS DOORS
CONSTRUCTION INFORMATION:
itlona wor to e orme under t—checkispermit a apply:
OHVAC - Gas Tank ❑Gas Piping _Shutters
Electric 0 I—] Plumbing Sprinklers Generator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 62, 100.00 Utilities:�Sewer Oseptic
✓Q Windows/Doors
Roof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameVIRGINIA PROVOST
Name: GREG MORABITO
Address:12484 HARBOUR RIDGE BLVD
Company: GMCONSTRUCTION LLC
City: PALM CITY State:FL
Zip Code: 34994 Fax:
Phone No.
Address: 313 SW ALBANY AVE
City: STUART State: FL
Zip Code: 34994 Fax: 772 781 8505
Phone No. 772 781 8500
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: GMCONSTRUCTION@BELLSOUTH.NET
State or County License: CGC049743
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:M.A.CARSON AR91665
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:'121 S.E. OCEAN BLVD
Address:
City: STUART State: FL
Zip: 34996 Phone 772-223-8227
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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 wy't�t lender oC an attprney before
commencine work or recordiniz vour Notice of Commenc; edt. /. 1 A II . 1
LJU I -
SiRnatillre of Owner/ Lesse / ontractor as Agent for Owner
Sig to Untractor/License HWder
STATE OF FLORIDA-
STATE OF FLORIDA
I`�1
COUNTY OF • I CK,l�i
COUNTY OF IJI roc
The forggoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 15 day of 30 5E 204b by
this day of J7W4 20 l �A by
ylP�tt�1F0 -�-V0\t6-
✓c-ca{u- Norc6 la
Name of person making statement
Na of p sonn✓ aking statement
Personally Known x. OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
q
('u lic-S
(Signature of o ry Public- State of Florida
of Florid
sAUNIER RAJ. CCLWELL
I� nnu„
6G Ckk6 `a`' Nola!
Commission No. (Se );;s s*:
HIRL V A. of ,,,
(?l�fli4riiSSslllr fI rid e . , MYMON#FFS99012
M
Co
jj''
mission M GG 0 6 . ApA8,2828
�
My C
m. Expires Jsn 31, 2021 ---$IF . 1W&dTft Nd"UWc
bN.
111111110111111111 WNW {
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
COMPLETED
�(J
Rev.8/2/17