HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COlvir�TED FOR APPLICATION TO BE ACCEPTE[i
'bate: 11/2/2018 iaq SCANNED Permit Number:
VS' BY
tr,n�•n;; t. Lucie County RECEIVED
Building Permit Application NOV 0 2 Z018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Other
I" PROPCjSEb IMPROVEMENT LOCATION: - •.•a
Address: 12600 NW Harbour Ridge Blvd Palm City FL 34990
Legal Description: RIVERSIDE VILLAGE -A CONDOMINIUM COMPRISING A REPLAT OF TRACK G-7 HARBOUR RIDGE
PLANT NO.6
Property Tax ID #: 4426-510-0000-000-6
Site Plan Name:
Project Name: HARBOUR RIDGE RIVERSIDE CONDO RETENTION WALL
Setbacks Front Back: Right Side: Left Side:
;DETAILED`:DESCRIPTION OF WORK:
Lot No.
Block No.
Install approximately 265 linear feet of Preserve retention wall to prevent land lass in low lying areas
behind condominium. Includes excavation, grade work, backfill & sod installation. 1p-Foal pat-
PgS6L&(-C, 4r-ecoee t we i�CA
CONSTRUCTION INFORMATION:.;
Additional work to be nertormed un er t is permit— c ec a apply:
OHVAC Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors
Electric 0 Plumbing []Sprinklers n Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 311
Sq. Ft. of First Floor: _
Utilities: Sewer [j Septic
Building Height:
OWNER/LESSEE:' `
CONTRACTOR:,
Name Condo Assoc. of Riverside Village Inc
Name: Margaret Fenton
Address: 12600 NW Harbour Ridge Blvd
Company: SUNSHINE LAND DESIGN INC
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.772.873.6014
Address: 3291 SE Lionel Terrace
City: Stuart State: FL
Zip Code: 34997 Fax: 772.283.8944
Phone No. 772283.2648
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Apauly@sunshinelanddesign.com
State or County License: CGC1518885
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:
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 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 exemptfrom 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
rnmmpnrine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Con ctor/Lic nse Holder
STATE
STATE OF FLORIDy , I /� 0 , p
E OFIDACOUNTY �1� el
( 1>�x"I
CSTAOUNTY OF 1
The fo oing instrument was acknowledge b�fore me
The for oing instr ment wa acknowledged -,before me
Y
th' day of 1f1De it k 20 � '6by
this day of 20jYby
Name of perso making statement
NarfI6 of persorxmaking statement
Personally Known V OR Produced Identification
Personally Known V OR Produced Identification
Type of Idetitification
Type of Identification
Produced
Produc d
ignature of Notary Public- tate of Florida)
(Signature of Notary Public- State of Florida )
Ashley Pauly
Ashley Pauly
Commission No. 6 N�py PUBLIC
ff t
Commission No.(1�12�.0� 0�
o� NOTARY PU
a .STATE OF FLORIDA
n
=STATE OF FL
Comm# GG266081
' Comm# GG28
nm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
1
RECEIVED
1( 118
DATE
COMPLETED
Rev.8/2/17