HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y n I ,�, , /
Date: I O - ) Q . Permit I(er •� ���
SCANNED RE
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BY OCT 7 2019
• St. I uci
Bull�di�i'�tpermit Ap IicatiQ
Planning and Development Services Permit Ing Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE:
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
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
New kiosks to cover mailbox clusters. I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: C3, 273
Cost of Construction: $ 5,000
Sq. Ft. of First Floor:
-Windows/Doors
Roof 5/12 Pitch
Utilities: —Sewer _Septic Building Height: 8 ft
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: brummeftdon@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailabacoamij@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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Ceml Key D"9nr N0M=D.Cabrera P.E'
MORTGAGE COMPANY:
Name:
Not Applicable
Add ress:6o5 Belvedem Rd #7/ 605 Belvedem Rd Nr
Address'
City: West Palm Beach/West Palm Beach State: PLT
Zip: 33401 Phone 561-7T2.i690/561-249-1212
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
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 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 Qq THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNE"EFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat of Owner/ Lessee/Contract as A or Owner
Signature of Contractor/License Holder
ST E OF FLORIQA
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STATE OF FLORIDA n- n
In i�J� IiI
C NTY OF l .laic l P
COUNTY OF FS C TYlC�
The for oing instrument was acknowledged before me
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The fo oing instr ��m,,e �t w��a,s�ac�knowledged before me
T
this day of (�C�ti�y 201 by
this day of 20B by
ay-mA Mal-lc_z,Lc ,
Mar)( <)enVan-'�
Name of person making statement.
Name of person making statement.
Personally Known —2_OR Produced Identification
Personally Known _ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ppy Katie Brummett
(Signature of Notary Public- State @T a
(Signature of Notary Public- State pf idaljatie Brummett
FLORID,
o STATE OF FLORID
g' NO�yT�ARY PUBLIC
Commission No. Comm# G
(Expires
Commission No. OF E3715A
NCE} 11/21/20
z =�Comm# GG16E
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Rev. 217119