HomeMy WebLinkAboutSLC App (Garage Door) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/25118 Permit Number:
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: 12318 NW Harbour Ridge Blvd, Palm City, FL 34990
Legal Description: Harbour Ridge Plat#22 Lot 4 (or 2508-441)
Property Tax ID#: 4426-60-0003-000-7 Lot No. 4
Site Plan Name: Coy Residence Garage Door Block No.
Project Name: Coy Residence Garage Door
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Amarr Heritage 2000 24G Raised short Panel Steel insulated Garage Doer. R-Value 6.84
Inside lock 15" Radius - Standard Lift Track, Vinyl Trim, Dade County Impact Rated +42.OPSF
-46.OPSF. See product approval
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit--check all that apply:
❑HVAC Gas Tank DGas Piping Shutters Windows/Doors
Electric ❑ Plumbing ❑Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 2,866.00 Utilities:In Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Adelaide Coy Name: Steve Rubin
Address:12318 NW Harbour Ridge Blvd Company: Rubin Custom Homes
City: Palm City State:_ Address: 4253 SW High Meadows Ave
Zip Code: 34990 Fax: City: Palm City State:FL
Phone No.772-340-0266 Zip Code: 34990 Fax: 866-480-7498
E-Mail:ADiECOY@AOL.COM Phone No. 772-283-0553 Ext 2
Fill in fee simple Title Holder on next page(if different E-Mail: reception1.rubincustomhomes@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN 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 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 obtain financing, consult with lender or an attorney before
commencingwork or recording our Notice of Commencement.
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gnat e o Owner/Lessee ontra for as A nt for Owner Signature of Contractor/License Holder
STATE OF FLORIDA<-)_ STATE OF FLORIDA ;
COUNTY OF Z_ < COUNTY OF_ ,�T/
The forgoing instru ent was acknowledg before me The for oing instru t was acknowledged b fore me
this day of �L 2 ' by this day of C 20 by
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Revised 07/15/204
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS