HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-22-2015 Permit Number: Olt"
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
PROPbSED IIVI'RROVEMEN`T b',CATIO'N:J
Address: 13454 Harbor Ridge Blvd, Palm City, FL 34990
Legal Description: Palmetto Village Building 4 Unit 3A(3763-2919)
Property Tax ID#: 4436-605-0027-0003 Lot No.
Site Plan Name: Harbor Ridge Condo Block No.
Project Name: Harbor Ridge Condo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONCOF WORK:.`
Supply and Install 1 PGT Impact 4-Panel Sliding Glass Door-Bronze Frame-Gray with Screens. Remove Existin Screen.
CONSTRUCTION INFORMATION:
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Additional work to be nertormed under this permit—ch ec i appy:
❑HVAC Gas Tank ❑Gas Piping LJ_Shutters Q Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 8,600 Utilities:Cn Sewer❑Septic Building Height:
011UNER/LESSEE:, °;CONTRACTOR:
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Name Harbor Ridge Property Owners Association Name: td ,
g
12600 Harbor Ridge Blvd
Address: Company: JSJ Doors&Windows
City: Palm City State:FL Address: 4253 SW High Meadows Ave
Zip Code: 34990 Fax: City: Palm City State:FL
Phone No.772-336-3000/772-873-6012 Zip Code: 34990 Fax:
E-Mail: w_conover@hrycc.org Phone No. 772-418-1228
Fill in fee simple Title Holder on next page(if different E-Mail:lsjdoorsandwindows@gmaii.com
from the Owner listed above) State or County License: CGC1521765
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: Not Applicable MORTGAGE _
COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 w k or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent SS g atuFe of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA / ^ .elA
COUNTY OF �'��uei�i COUNTY OF &-.l '4P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this� day of �/;>/`/ 20%�y this c23 day of J t LA20 /S by
(Name of person acknowledging) (Name of personacknowledging)
(Signat a of Notary Public-6taO of Florida) (Signature of Notary Public- ate of Florida
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Personally Known +' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No��_I mmission Ng SHERRI KIEWEY
AMRGARET A.EPPENON MY COMMISSION#EE225005
COM:r
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11 I FF 2242R9__ EXPIRES October 04,20
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Revised 07/15/2014 %:rF ov i� �P` MY Com.Expl Arp 18.2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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