HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
ALL APPLICABLE INFO MUST BE JCOMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1"Y SCANNED Permit Number:
; , t BY � V
o St. Lucie County REL
Building Permit Applicatio I FEB 15 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 i e County, F L
Phone:(772)462-1553 Fax:(772)462-1578 Commercial 114SerkW y
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 2800 N Highway A1A
Legal Description: 142� / %.lei 4-)S ?D sw V V—
Property Tax ID ft: v
Site Plan Name:
Project Name: Barclay Beach Club
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Replace single hollow metal door and frame with transom. This is an exterior fire egress door not a fire
rated door.
L1HVAC U Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,s91.06
Gas Piping IJShutters
Sprinklers ❑ Generator
S Ft, of First Floor: _
Utilities. U Sewer R Septic
❑✓ Windows/Doors
Roof = Roof pitch
Building Height:
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NameBarclay Beach Club Cando Assocation
Name: Gerald Hebert
Address:3055 Cardinal Drive Suite 200
Company: CDA Solutions Inc. DBA Commercial Door and Access
City: Vero Beach State: FL
Zip Code: 32963 Fax:
Phone No. 772-562-9031
Address: 7622 Emerald
City: West Melbourne State: FL
Zip Code: 32904 Fax: 321-674-9143
Phone No. 321-951-9533
E-Mall:Aaron.Bland@fsmsidential.com
Fill to fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: dispatch.cda@gmail.com
State or County License: CBC1254828
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. OZ 1 1 > 7
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DESIGNE�/ENGINEER: _ Not Applicable
Name: k c.r Lr' E 4� na t a�ias'
MORTGAGE COMPANY _ Not Applicable
ame:
Address:_tl? caan�,��rt �2
Address:
City: — � - a State:4c-_
Zip: 5-,-A&a Phone I.0t 60
City: State: _
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:rauEma.e
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 Counttyy 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
Signatur- a of Owner essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S' r. I tx c.i COUNTY OFF
The forgoing instrument was acknowledged before me
this 24o day of Oe-rvu E g 20 Imo` by ,
Name of persoji making statement
Personally Known r/ OR Produced Identification
Type of Identification
Produced
(Sign O ure of Notary Public -State of Florida i
Commission No. C' ` 2p L ... ...... (SetYLINDA R. BOYD
??,? Notary Public -state offlorida
REVIEWS
COUNTER I REVIEW I REVIEW
Rev.
The forgoing Instrument was acknowledged before me
this16dayof_ )c,"Lkc..r�4 .2oL y by
Ct-YQ(d H A- -
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
of Notary
ommisston No. ir$; `^.� Notary Pyplj�Wtate of Florida
'�� Commkk33ffou YY/7 GG 220732
or r�,. My Comm. Expires Jun 1; 2022
Bonded through National Notary Assn.
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