HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO DE ACCEPTED
1704 0527 ;-
Date Permit Numbei:
l , a
3 r
0.0ding permit Application
Planning and Development:Services
Building and Code Regulation.Division
MO:Virginia.Aben.ue,•Fort Pierce FL 34982.
Phone:(772)462-1553 Fax:'(772)<462=1578 Col'nMercialResidential X
PERIUIIT APRLICATION FOR; Window/door
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Address: 12827.SW•Cinnamon.Way,,Palm.City, FL 34990
Legal:Description: Cinnamon Village Harbour Ridge-Plat 3 Unit 13(or 3366-,1225:'3080-2650)
Property Ta.x ID`#: 4425-602-0025-000-6
Lot No.
Site Plan Name; Warner Residence
Block No.
Project Name: Warner Residence
Setbacks Front Back: Right Side:. Left Side:
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Replace and install all windows with PGT- 'Vinyl impart insulated.white frame-:soiarban 70 glass
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�t�ona°war to e e Orme un ert �s:permit=c ec a app y:;
HVAC _Gas Tank Gas Piping
.—:Shutters z 1Nindows/Doors
Eieetric 0 Plumbing Sprinklers 0]Generator .Roof Roof pitch
Total Sq.Ft of Construction:
Sq:Ft.of First Floor:
Cost.of Construction:$ 10 950 Utilities:.0 Sewer r–I Septic Building Height:
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Name Gregory&Elizabeth Warner
'Name $teve.Rubin
12827 NW Cinnamon Way
Address: Y Company: Rubin Custom:Home"s,
City: Palm City State: FLAddress: 4253 SW High MeadoWs:Ave
Zip Code: 34990. Fax: Ralm City
tY State:FL
Phone Na. 14- 08-4156 Zip Code: 3499.0 Fax:.866=480-7498
E-Mail,9Fe9otY.P•wamer@gmaii.com Phone No. 772-283-0553
Fillin fee simple Title Holder dn:next page'(_Wdifferent E-Mail: receptions rubincustomhomes@gmail.cotri
from the Owner Ilsted above) State or County License:: COC1518190
If value of construction,is.$2500.or irfore,a RECORDED Notice of Coininentement is required:
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DESIGNERjEIVGINEER: ____Not Applicable MORTGAGE COMPANY V Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Prone: Zip: Phone:
Not Applicable BONDING COMPANY Not-Applicable
FEE StlVll?LE 7'ITL'E::HClLDER: — pp' .,�...
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 Countv,makes no representation that,isgranting,a permit wili`authorize=the permit holder to°:build.the subject structure
Which is,in conflict with any applicable Horne Owners Association rules;bylaws:or.and covenants that may restrict or prohibitsuch
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,C do hereby_agree that[will,iii`,all.respects,.per#orm-the work.
`In.accordance with the_approved plans,the Florlda guilding Code'sand St,Lude-Cdunty Amendments.
The;#ollowing building permit applicatii ns:are exempf1rom undergoing a full concurrency"review'rooni'additions
wcessorystructures,swimming,pools,fences;walls,signs,,screen rooms and accessory uses toariother non-residential use
WARNING TO OWNER-.Your failtire to Record a,Notice,of CommenceEment:may result in your paying tvuice for
improvements to your property.A.N'otice ofCommencement must:be recorded and posted on the j6bsite
before the first inspection.,if you intend to obtain financing,,consult with lender or an attorney before
commencing work or recording our. Notice of Commencement.
ignature of Owner/Lessee/Contractor as,Agerit#or Owner 9i afure of Contractor,/License Nold"er
STATE OF FLORIDA STATE.0 FLORIOA
COUNTY OF ;;1 I t COU TY OF � -- �-
The:f4' cing;instru . was acknowledge efore me The f r Ing instr m tivas;acknowledgefore:me
thisday of L 20 by this day of 20 by.
{Nam4ers acknowledging} (name of n ac nowledging)
,-
}f ,1
(Signature of Notary Ptikblic A rids) (Signature J Nofary Ir
Personally Known vu ion Personally Known .. `°Ejilt -catlo
Type.of1deritification:Pre r ' ( Type of Identification Produced °d' ��' _
Commission No:. P¢ef¢ 9 jB ommission No'. �.
�s
Revised 07/1:5/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEXTURTLE MANGROVE
COUNTER REVIEW REVIEW! REVIEW REVIEW 'REVIEW REVIEW
DATE
COMPLETE
INITIALS