HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE -INFO MUST BE COMPLETED FORAPPLICATIONTO_BEACCEPTED ��g Date.
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r. Permit lJ
- , SCANNEDding;'
BudPermit APPkAion BY
Piah0gaadDeefoptn&!tServices St. Lucie COUnti,
Buildingand Code Regviation'Dfvision
2300 Vrgfnia Avenue, Fort Pierce FL 34982
Phone:-(772) 462-1553.:Fax: (772) 462-1578 Commercial 'X Residential
PERMIT APPILICATION FOR: other' =CahopyAddition
PROPOO SED IMPROO EME'NT LOC*A�TiION:
Address: 13400 NW'Gilson Road
LegalDeschlaiian: HARBOUR RIDGE-"T2-TRACTTC-1(7.94AC)(OR9282626)
Property Tax .[I)#• 44261761-0016.000.4 _ Lot No.
Site Plan Name: Harbour Ridge Tennis. Fitness Pool
Block_ No.
Project Name: Harbour Ridge Yacht & country Club
Setbacks Front Back: Right Side; Left Sidei
D TAILED ®t>SCR PT(ON OF WORK:
Installation of four (4.) canopies'
60
c0 S�TRUCT +N INFORMATION
nnlona war - o e e orme under Is perm —.c ec all apply:
0HVAC Gas:Tank El Piping ❑
Shutters Windows/Doors
O Plumbing ❑SprinklersEI
.❑Electric; Generator Roof
Total Sq. Ft of Construction: Ft of First Floor:.
Cost, of Construction:$30,600.60 UtilitiesSewerIjSeptic Building Height -
+O�WNER/ ESSEE:
C W& TR CT' R:
Name Harbour Ridge Counfry Club, Inc.
- Ne: 9 Gebg4Tddd III
am
Address:12600 Harbour Ridge Blvd
Company: Welch Tennis Courts, Inc.
City: Palm City state:Fl,
Address: 4501 US Hwy41 S•
Zip Code: 34990 Fax:
City:, Sure City State: FL -
Phone No.
Zip Code:- 33586' Fex .813 641,7795 -
E-Mail
phohe No 813-641-77t37
Fill infeesimple Title Holder on next page (if different
E=Mail: g36 velchtennia.com
from the Owner listed ,above)
State or County License• CBC1251796
H value of construction is $2500 or more, a.RECORDED Notice of commencement is required.
SUPPLEMENT CONSTRUCTION LIEN LAiN INFO=
AT I
DESIGNER/ENGINEER:` x- Not Applicable
MORTGAGE COMPANY: x Not_Apphcable
Name:
Name: _
Address:
Address; . - -
City: State: '_
City;- - State:
Z)p:. Phone:
Zipi ' Phone:
FEE SIMPLE TITLE HOLDER: X ,NotApp(icable
BONDING'COMPANY; x_. Not Applicable
Name:
Name:
Address: '
Address:
City:
City
Zip:. Phone:
Zip: Phone:- -- -
I certify that no work or installation has coMmenced piior tothe'lssuance of a permit.
St. Lude Counttyy makes no:representatioh that isgrantiog a permit will authorize the permit holder tobuildthe subject structure
,which Is Inconflict with any:appllcable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associatlon and review your deed for any restrictlons;whichmay apply. "
In consideration ofthe granting of this requested permit, lido hereby agree that I will, in respects,,perform the work
In accordance with the approved plans, the Florida Building Codes and St: Lude County Amendments.
The: following building permit applications are exetnptfromundeFgoingafulLconcurrencyreviewrroemadditions,
accessory' stiuctu es, swiniining pools, fences,:walls, signs, srseenrooms and accessory'uses to another no9-r6sidential'use
WARNING.TO OWNER: Your failure to'Record a Notice of Commencement may iesultin youi paying twice for
improvements to your proQerty. A Notice of Commencement must recorded and posted on the jobsite
before the.first inspection.af,you intend to obtain financing, conssultwith lender or an attorney before
commencing work 6r-rec&ding your Notice ifCommencement_ ..
s
-- -
a ofOwner(Lessee/Agent
5 21
,S' -a fre of Contractor License Holder
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF
COUNTY OF 4sb—
Thefo�rgoinginstrume �wasacknowledgedbefdreme
this dayof :�ay� ' 20 &bg
he inninginstrument'was'acknowiedgedbefore.me
'dayof.
,
this .iC^ 20.,hy
(Name o person acknowledging')
(Name of persoKacknowledging) z
,AV % JOEL SUCK
WCOMNSSIONkGG
E%PIRES&A25,202
Bonded
(51gigirture of NotaryPublic- State of Florida )
(sin ure of Notary Public -State of Florida)
Personally known .X'_ORProducedidentification_
PersonaNKnown'x. FORProducedIdentification
Type of Identification Produced'
Type of identification Produced
Commission No. `�I�iONAGG 058015
Commission No.
y P RES APA 25; 2021
BCMedSlw SMbrJ
.g, °< Ex-
'yea
n°e eadee'iv�:-. INosl' -
Revised 07/15/2014
REVIEWS,
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE,
MANGROVE
COUNTER
REVIEW`
REVIEW
REVIEW;
REVIEW
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REVIENI
'DATE
COMPLETE
INITIALS.