HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/10/17
Permit Number:
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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: Window/door 1
PROPOSED IMPROVEMENT LOCATIC)N ,,5 .l ..
Address: 13413 NW Wax Myrtle Trail, Palm City, Fl 34990
Legal Description: Harbour Ridge Plat #1 Lot #7 (or 3976-1351: 1361)
Property Tax ID #-. 4436-601-0007-000-5 Lot No.
Site Plan Name: O'Boyle Windows Block No.
Project Name: O'Boyle Windows
Setbacks Front Back: Might Side: Left Side:
[RETAILED DES, CRrIQN 9F WOR,K H
Install PGT Series 720 Architecturals, Install PGT Series 700 SH, Install PGT Series 770 Sliding Glass
Door, Install PGT Series 740 Casement. All to be Bronze frames with Salarban 70 XI - Low E Impact
Resistant. Glass.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit — check all that apply:
HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors
Electric Plumbing Sprinklers 1:1 Generator 1:1 Hoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 43,000
S. of First Floor:
Utilities:liSewer QSeptic Building Height:
OWNER/LESSEE:
Name Hugh & Marianne O'Boyle
Address: 13413 NW Wax Myrtle Trail
City: Palm City, State: FL
Zip Code: 34990 Fax:
Phone No. 973495-6542
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Steve Rubin
Company: Rubin Custom Homes
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34990 Fax: 866-480-7498
Phone No. 772-283-0553
E -Mail: receptionl.rubincustomhomes@gmaii.com
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 CONSTRU ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: 1f Not Applicable MORTGAGE COMPANY: '+lot 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 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 playing twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the lobsite
before the fipt inspection. If you,i tend to btain financing, consult with lender or an attorney before
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commenc' ,wQfk or recordi" your No'k e of Commencement.
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Signatur4 of Own r/Lesse7Contractodas Ag t for Owner Signature of Contractor/License Ho d
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STATE OF FLORIDA STATE OF FLORIDA C/ }
COUNTY OF `�.1 [y{% I ! COUNTY OF
The f rgoing instr ment w a knowledged efore me The forgoing instru }was acknowledged before before me
this day of d - , 2E I'l by this day of �"�- � , 24 I -r _by
AV CqM Do
{Name of p rs ac owledging
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(Signature of Notary Public- State`
Personally Known L/"' OR Produ
Type of Identification Produced
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
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(Name of yersln �ck�owledging )
(Signature of Notary
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Personally Known OR Produ
Type of Identification Produced
Commission No.
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW REVIEW
MANGROVE
REVIEW