HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .-tet - 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
PROPOSED IMPROVEMENT LOCATION:
Address: 1529 Buttonbush Circle, Palm City, FL 34990
Legal Description.. Harbour Ridge Plat - 13 - Buttonbush village Unit 18 or 2811-1243
Property Tax ID #: 4426-815-0025-000-3
Site Plan Name: Manuck Residence
Project Name: Manuck Residence
Setbacks Front Back:
Right Side: Left Side:
few 0rel
Block No.
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CONSTRUCTION INFORMATION:
Additional work to be loerformed under this permit -check all appy:
1]HVAC Gas Tank 0GasPiping _Shutters Windows/Doors
11 Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ �� � utilities:'n Sewer Septic Building Height:
t-
OWNER/LESSEE:
CONTRACTOR:
Name William Manuck
Name: Steve Rubin
Address: 1529 Buttonbush Circle
Company: Rubin Custom Homes
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-336-1213
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: bmanuck@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: reception1.rubincustomhomes@gmail.com
State or County License: CGC1518190
If value of construction is $2500 or more, a RECORDED Notice or `ommencemenz is requwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x� Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
[ 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, [ 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
commencing work or recording our Notice of Commencement.
s
Si a ure of Owner/Lessee/Contractor as Agent for Owner gnature of Contractor/License r
STATE OF FLORIDA STATE OF FLORIDAo
COUNTY OF .i COUNTY OF �Z L i 1bt -~
The forgoing instru e t wa acknowledg efore me
this day of 24 by
(Name of p sin a r
(Signature of Notary
Personally Known
Type of Identification
Commission N;;
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Revised 07
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DATE
COMPLETE
INITIALS
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Public- St4e)of Florida)
OR Produced Identification
KELLEY Seal)
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FRONT ZONING
COUNTER REVIEW
The forgoing instru ent�nas acknowledged me
this V day of Z4 I L) by
Personally Known _
Type of Identification
OR Produced Identification
Commission No.�#FF999118eal)
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW