HomeMy WebLinkAboutFront Entry AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5127/17 Permit Number:
S T _J
w
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
PROPOSED IMPROVEMENT LOCATION:
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
Site Pian Name: O'Boyle
Project Name: O'Boyle
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side
Replace and install new Front Entry Door Svstem Der NOA
Left Side:
Lot No.—
Block
o._Block No.
CONSTRUCTION INFORMATION:
Additional work toa Performed un ers p
t iermit – check a appy:
HVAC E] Gas Tank F]Gas Piping Shutters Windows/Doors
11 Electric E Plumbing SprinklersL I Generator Roof Root pitch
Total Sq. Ft of Construction:
Cost of Construction: $��
SFt. of First Floor: _
Utilities:cnSewer ❑Septic
Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Hugh & Marianne O'Boyle Name: Steve Rubin
Address: 13413 NW Wax Myrtle Trail 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. 973-495-6542 Zip Code: 34990 Fax:
E -Mail: hoboyle@mac.com Phone No. 772-283-0553
Fill in fee simple Title Holder on next page ( if different E -Mail. reception) .rubincustomhomes(pgmail_com
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.
SUPPLEnMI_NTAL +CONSTRU
DESIGNER/ENGINEER:
Name:
ON LIEN LAW INFORMATION:
Not Applicable MORTGAGE COMPANY•
Address:
City: State:
Zip: Phone:
Name:
Address:
City:
Zip: _ Phone:
Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of 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, btain financing, consult with lender or an attorney before
cammenc - wq IC or recordiry , our Nolle of Commencement.
of
for
re of Contractor/License H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF If { fC �COUNTYOF_ i LE'
The forgoing instrument w; a knowledged efore me
this day of 1 i z0 L/ by
(Name of P6—son a
(Signature of Notary Public- Stat �y
Personally Known v"� OR Produ d2?`
Type of Identification Produced
Commission No.
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
FRONT ZONING
COUNTER REVIEW
The forgoing instruawas acknowledged before me
this day Of 20 E7 by
(Name of Rfrs4n �coowledging )
(Signature of Notary Public- Sti
Personally known V11" OR I
Type of Identification Produced
p.y„9
Commission No. (Se -'eo V/,f
N
Y
SUPERVISOR PLANS �VEGEATION SEA TURTLE MANGROVE
REVIEW REVIEW EW REVIEW REVIEW