HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 15, 2015 Permit Number:
RECEIV13
Planning and Development Services Building Permit Application SEP 18 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Demolition
POSED-11IVIPRQUEMENT LOCATiCjN
Address: 3702 N. US Hwy AIA, Hutchinson Island, FL 34949
Legal Description: Grand Isle of North Hutchinson Island Condominium-A Condominium comprising a part of Sections 23&
24 Township 34 Range 40 All MPD and shown in or 2231-1190-(5 AC-217,800 SF)
PropertyTax ID#: 1423-+807-0000-000-9 Lot No.
Site Plan Name: Grand Isle Soffit Repair Block No.
Project Name: Grand Isle Soffit Repair
Setbacks Front n/a Back: n/a Right Side: n/a Left Side: n/a
;a
DETAILED DESCRIPTION QF WORK
_
Demolition �� I✓s
CONSTRUCTION INfORIVLAT10N :t
p
Additionalwork toe e orme is
un under permlt—c ec a appy:
❑HVAC Gas Tank []Gas Piping _Shutters ❑Windows Do/ ors
11 Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: 1200 Sq Ft S . Ft.of First Floor: n/a
Cost of Construction:$ g.OdG �� Utilities:Sewer Septic Building Height: 140'
Cf1NNERAES$EE
CONTRACTOR �.
Name:Grand Isle of N.Hutchinson Island Condominium Assoc.,Inc. NRaymond and Frambes
Address:3055 Cardinal Drive Ste 200 Company: Kepp Construction, LLC
City: Vero Beach State: FL Address: 6955 Harrison St.#104
Zip Code: 32963 Fax:772-562-9998 City: Sebastian State:FL
Phone No. 772-562-9031 X2124 Zip Code: 32958 Fax: 772-202-7389
E-Mail:henry.richer@fsresidential.comPhone No. 772-202-7399
Fill in fee simple Title Holder on next page(if different E-Mail: Keppconstruction@gmail.com
from the Owner listed above) State or County License: CGC049815,CCCO54807
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTIaN GLEN LAW INFORN1AT1C7N,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: w
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: wNot 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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat 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 e of Commencement must be recorded and posted on the jobsite
before the first inspection. If y intend obtain financing,consult wi lender or an attorney before
commencingwork or recor ' your N ice of Commencement.
S
gnature of Own Less gent Signature of Contractor/License Holder
STATE OF FLORIDA �]j STATE OF FLORIDA
COUNTY OF__ .Q.TLr Al K ry u?_ COUNTY OF lndan River
The forgoing instrument was ,cknowledged before me The forgoing instrument was acknowledged before me
this Itp day of 20 /sby this 's`h day of Soptombor 20 by
(Name of person acknowledging) (Name f person acknowledging)
(2, L 2/
(Signature of Notary Public-State of Florida) gat
nure of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
,1pF.Y PUBCc BARBARA J.P
�` o 7 OMMiSSION#EE 869077 FF 116264
Commission No. 7`V "" ( ddY Commission No. (Seal)
EXPIRES:May 23,20f 7 BARBARA A.OARLS
. °P Bonded Thru Budget Notary Services
lit'!I;C=MMISScC;N#FF 116261
-XMES:r,Giil 26,2018
Revised 07/15/2014 "�tr.ERr��' A�i,das'rnr�vua�rrto�ry6ervisse
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DATE
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