HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: September 21, 201 f Permit Number:
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: Demolition
�?ROPOSED IMPROVEMENT LOCATICIN � r� r � � �
Address: 2018 NW Royal Fern Court, Palm City, FI. 34990
Legal Description: HARBOUR RIDGE-PLAT 6- ROYAL FERNVILLAGE UNIT 9 (MAP 44/26N)
(OR 3863-20)
Property Tax ID#: 4425-605-0023-000-1 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Hernandez Demolition
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION � FWORK
Select demolition and removal of the kitchen, master bathroom &surrounding areas
C®NST.RUCTION IN_FORNlATIjail-
W_ d ; r � ` G
� r.
Additionalworkktoa nertormed under this permit-c ec k a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 11 Plumbing Sprinklers Ei Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: _Sewer ElSeptic Building Height:
a't d'��
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c l.`""1 *� a.r s< bin t f n
011I/NER/LESSEE =s �� 4 ' O TRACTOR
Name Mickey Hernandez & Cynthia Dolan Name: Greg Morabito
Address: 2018 NW Royal Fern Ct. company: GM Construction, LLC
city: Palm City State: FL Address: 313 SW Albany Ave
Zip Code: 34990 Fax: City: Stuart State:FI
Phone No.(678) 642-1274 Zip Code: 34994 Fax: (772) 781-8505
E-Mail: mickeyh4299gmail.com Phone No. (772) 781-8500
Fill in fee simple Title Holder on next page(if different E-Mail: Accounting@gmconstruction.com
from the Owner listed above) State or County License: CGC049743
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
f _ 5
SUPPLEMENTAL CONSTRUCTION LIEN LAU1% INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Braden & Braden Name:
Addregs:41 7 SE CoconutAve. Address:
City: tUart FL City: State:
Zip: 734996 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 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with len or an attorney before
commencing wo,r.6 or rec rding your_Uotice of Comm enc a t.
s
Signature of O te /Lessee/Contractor as tt r Owner Signature of Cont a r License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF yu 662 X-P COUNTY OF
The forg i g instru t was acknowledged before me The forgq(ng instr ent, as acknowledged before me
this,;ay of 201by this�7 day of 20 by
(Name of pe on acknowledging) (Nam of pe son acknowledging)
ignature of Nota uublic-St to of Florida) ignature of Nota ublic- tate of Flori
Personally Known 5/— OR Produced Identification Personally Known &C OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �G Commission Nofti1` 9 G , (Seal)
KATHERINE L. MCCOMAS,
?•° "i Commission#FF 980595 -711
%. . My Commission Expires ?o�.r r& KATH R
Revised 07/15/2014 ''1%.p,"�' April 1.0, 2020 :•� Commission#FF 980595
*_
-, My Commission Expires
Apill 1-n. 2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE h
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS