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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: _ 1 M - Del/1 4BY kiwiSt. Lucie County RE�Er�ED Building Permit Application FEB 151019 Planning and Development Services Perrn,ttin9 Depart Building and Code Regulation Division St. Luole Countyent 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address:12600 Harbour Ridge Blvd - Palm City, FL 34990 Legal Description: Harbour Ridege Plat No 1 Tracts 1 and 3 (6.34AC) (OR714-219) 1361-1126) Property TaxlD#: 4436-6ni-nnoo-Clio-q Lot No. Site Plan Name: Block No. Project Name: .gi rA T,i ghr; ng Setbacks Front Back: Right Side: Left Side: IVETAILED DESCRIPTION OF WORK: proo"a Re�no�C.C� �g�P�y�i1�1'+� �IoJ/idi'�ut, ,S'��?.+�.�fs I?✓AJ /'9ssd sdr &44 �f10ra 6 aan�1Jw// r?Cjl -lI G—F.•r,S fh J,Pe.e hed �.✓, C_ONSTRUCTION INFORMATION: Additional work to e orme under tispermit—checka apply: ❑HVAC M Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors © Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: Sct. of First Floor: Cost of Construction _ ,301. % g Utilities: Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Harbour Ridge POA Name:Joshua Corbo Address:12600 NW Harbour Ridge Blvd Company: Meinser Electric Inc. City:Palm City State: FL Zip Code: -;4ggn Fax: Phone No. Address: 220 NE lst Street City: Delray Beach State: FT, Zip Code: 33444 Fax: Phone No. 561-278-8362 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: AA@mei..cc State or County License: EC13 008589 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 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, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Aka 444 61;0 &AJ. 0IP' lc��t•d., 044. Signature of Owner/ Lessee/Contractor as Agent for Owner Sig ure of Contractor/License Holder STATE OF FLORIDA / STATE OF FLORyD, /I COUNTY OF C5�' • �aIL� �D� COUNTY OF K%�\1M PS�li1 The forgoing instrument was acknowledged before me The forgoing instpiment was acknowledged before me this-6-L day 220, /f by this QLILday of L 20A.& by Name of personmaking statement Name of person making statement Personally Known V OR Produced Identification Personally Known �_�OR Produced Identification Type of Identification Type of Identification Produced Produced G c (Signatur f Nota Public- Stat of florida) (511irratrj Notary Pu ic- State or-4*j6,11)forgIna „an,,,,, r: N MAROAl1ET A. EPPE1160N eal) ��� /— ary Public State oo Commission No. r'T' �oa5 FernandCommission . • COmmlr/Ion • FF 224212 FF il °+y,W Expires 08/2512019 -' +, Comm. Eit Im A 11 thotgtfWdgt"AwLF SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17