HomeMy WebLinkAboutPermit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 716117 Permit Number:
� I
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
Address: 504 NW Winters Creek Rd, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 20 - Lot E (or 2544 - 2765; 3017-2512; 3737-1738)
Property Tax iD #: 4422-810-0008-000-1
Site Plan Name: Stewart Residence
Project Name: Stewart Residence
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace 6 windows per layout with PGT series 3500 Store Front Windows. Product Approval and
Layout is attached.
CONSTRUCTION INFORMATION:
j�itiona workto e er orme under tis permit—checka appy:
EJ HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000
Sq. Ft. of First Floor:
Utilities:11 SewerDSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Douglas & Patricia Stewart
Name: Steve Rubin
Address: 504 NW Winters Creek Rd
Company.. Rubin Custom Homes
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-344-3451
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-283-0553
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: reception1.rubincustomhomes@gmaii.com
State or County License: CGC1518190
It value of construction is 5250U or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU
L71:SIt;f�iER,(ENG
ONLIEN LAW li lrCd i APO
INE£R; v
Name: Not Applica
—`
Address:
City: State:
Zip:. _ p€ one,
FEE SIMPLE TITLE H LO R;
Name:
Address:
City:
Z€€3: ._ Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: phone:
Not Applicable I SOtVC3ING COMPANY;-
Name:
Address:
City: _
ZIP:. Phone:
Not Applicable
State:
.Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit, —
St. Lucie Counttyy++ makes no representation that is granting a permit oath authorize the Permit balder to build the subject structure
which is in conflict with any applicable Horne 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 fiat any restrictions which may Apply.
In consideration of the granting of this ,-equested 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 fallowing building permit applications are exempt from undergoing a full Concurrency review: room additions,
accessory structures, swimming pools, ferries, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your h3ilUre to Record a Notice of COMmenCernent 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 fender or an attorney before
commencin work or record; oust !Notice of Commenr€ mp,,r
ignature of �;�ner%LesseejContractur as Agent For �}iti�€ter
STATE OF FLORIDA �
COUNTY 4F_ its, I
The frQ ring inStrx was acknowledged ' edged' rime
this clay of .__.._ 20 LLby
lnam�"ersdp acknowledging)
(5ignature of Notary Publlc-
Personally Known +o,
Type of tdentiricatlon Pro
Commission No, 1%
Revised 07/1512014
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