HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPL ,�J FOR APPLICATION TO BE ACCEPTED
Date: Permit Numbe 0—
SCANNED
VQ u c St. Luce County
• Building Permit Applic tion OCT 7 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 yr
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8851 Waterstone Blvd, Ft Pierce, FL, 34951
Property Tax ID #: 1311 700 0030 000 6
Site Plan Name: Clubhouse
Project Name: Waterstone
DETAILED DESCRIPTION OF WORK: LIN
New kiosks to cover mailbox clusters. Al ., 4
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: Al, 416
Cost of Construction: $ 5,000
L Sprinklers
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
-Windows/Doors
Roof 5/12 Pitch
Utilities: —Sewer _Septic Building Height: 8 it
OWNER/LESSEE:
CONTRACTOR:
Name Waterstone Community Development District
Name: Mark Jenkins
Address: 1400 East Oakland Park Blvd,
Company: Abacoa Construction, LLC
City: Ft Lauderdale State: _
Zip Code: 33334 Fax: (954) 567-5166
Phone No. (954) 567-5161
Address: 605 Belvedere Rd #7
City: West Palm Beach State: FL
Zip Code: 33405 Fax: (561)635-1883
Phone No (561)249-1212
E-Mail: brummettdon@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail abacoamlj@yahoo.com
State or County License CGC153481
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name • Coral Key Des!MV Norman D. Cabrera P.E.
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Add ress: 605 Belredem Rd #7 / 605 BeNedera M #7
Address:
City: Wes, Palm Beach/West Palm Beach State: PLIFL
Zip: 33905/33405 Phone 56+-772`38901561-249-12,2
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 anv 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURJEENDEROR AN ATTORIYEYMEWRE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatur f Owner/ Lessee/Contracto as ent for Owner
Signature of Contractor/License Holder
ST OF FLORID
STATE OF FLOR 2
CO NTY OF ((� ( I�
COUNTY OFlNP�IYY1 1=7P00K1
The for Ding instrument was acknowledged before me
this day of �c�(,17�Y 20IR by
The fo Ding instrument was acknowledge before me
this day of �( -1 72 i� 20_H by
,-)Qrmri MnrV-i�br .l
Wvk_ jpnkin!)
Name of person making statement.
Name of person makin statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifica ion
Type of Identification
Produced
dmaietl
Produced
(Signature of Notary ublic-State of Flod o� NOTARY PUBL
STATE OF FLOI
Commission No. CA S Comm# GG162
(Signature of Notary Public -State of Florida )
1IDA 2 {Wy Katie Brummett
7Fommission No.. J tMWY PUBLIC
•"HCE191 Expires 11/21/
021 i c STATE OF FLORIDA
REVIEWS
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DATE
RECEIVED
DATE
COMPLETED
Hev.Z/7/19