HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/9/17
Permit Number:
Planning i IOU„� .. �A Ddu n�a9iYi
Building Permit Application
Hing and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
Address: 12827 SW Cinnamon Way, Palm City, FL 34990
Legal Description: Cinnamon Village Harbour Ridge - Plat 3 Unit 13 (or3366-1225: 3980 - 2650)
Property Tax ID #: 4425-602-0025-000-6
Site Plan Name: Warner Garage Door Lot No.
Project Name: Warner Garage Door ' Block No.
Setbacks Front Back: Right Side: Left Side:
memove and dispose of old door: Replace with 18 x 7 Dab Hurricane Master Raised Panel Steel
Garage Door 15" Radius Track, +40-44 PSF Dade County Code Impact Insulated Rated
Remove and Dispose of Old Door Replace with 6x7 Door to Match Above,
Additional work t6 a ertormed under this permit—c eck all apply:
J� pp y:
LJ HVAC U Gas Tank DGas Piping Shutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4,524.00
S Ft. of First Floor:
Utilities:Sewer Septic
Windows/Doors
Roof �J Roof pitch
Building Height:
Name Gregory & Elizabeth Warner _ Name: Steve Rubin y
Address: 12827 NW Cinnamon Way Company: Rubin Custom Homes
City: Palm City, State: FL Address: 4253 SW High Meadows Ave
Zip Code. 34990 Fax: City: Palm City State: FL
Phone No. 314-308-4156
Zip Code: 34990 Fax: 866_480-7498
E -Mail: gregory.p•wamer@gmail.com Phone No. 772-283-0553
Fill in fee simple Title Holder on next page (if different"'” E' Niaifr' receptions.rubincustomhomes@gmait:co„
from the Owner listed above) State or County License: CGC1518190
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCT/ON MEN LAW INFORMATION:
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 work or recording your Notice of Commencement.
s
Signature of Own er/Lessee/Contractor'as Agent for Owner Sig'na{ure of Contractor/License Holder
STATE OF FLORIDA+ STATE OF FLORIDA � ; ± l
COUNTY OF ' ` I JL C[ 6 COUNTY OF I -
The fing instru n was acknowledge • efore me
thisday of I L 20 by
1 'J
(Name efikersap acknowledging)
(Signature of Notary Public- p, rida )
Personally Known ✓ ion _
Type of Identification Pro e',o,.• !rF[
Commission No.y�g?}5ef4
royRik,
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
The fQrgoing instr m t was acknowledge before me
this day of�'i 20 1 by
I� �v D,
(Name ofperspn ac( nowledging )
JAI
(Signature of Notary
Personally Known
Type of Identification
ission No.
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW