HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/8/18 Permit Num
l O
JUN 0 8 2018
Building Permit Applicati®
Planning and Development Services Permitting Department
Building and Code Regulation Division St• Lucie County FL
2300 Virginia Avenue,Fort Pierce FL 34982 r
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Resideritial
PERMIT APPLICATION FOR: Window/door
PROPQSED IMPR01JEW NT LOCATION
.,
Address: 13004 NW Harbour Ridge Blvd, Palm City, FL 34990
Legal Description: Harbour Ridge-Plat 16 Figtree village Unit 12(or 3572-30)
Property Tax[D#: 4426-830-0014-000-0 Lot No.
Site:Plan Name: Morris Windows Block No.
Project Name: Morris Windows
Setbacks Front Back: Right Side:, Left'Side:
D:,ETAILED DESCR[PTION7GFI
Install of PGT.Series 700 SH, Fixed Circle window, and horizontal rollers. White.Aluminutm Grey tinted
glass. Per product approval and Layout*8 windows to be installed in 6 openings. Product approval#s
17-0630.08, 17-0614.11, 17-0411.06, 17-0918.07
,co'..N$,.,T ION INFORMATION '
�,..
_ t..,
1 .
Additionalworkto,be e orme � under this permit—check all- appy:
1]HVAC L__I Gas Tank IlGas Piping _Shutters Windows/Doors
Electric Plumbing [:]Sprinklers Generator Roof Roof pitch
Total.Sq.Ft of Construction: Sq.
of First Floor:
Cost of Construction:$ 13,000 Utilities;I J Sewer Septic Building Height:
4-
-E
Name
CONTRACTQR F
Name Henry&Judith Morris Name: Steve Rubin
Address:21 Museum Drive Company: Rubin Custom Homes.
City: Newport News State: VA Address: 4253 SW'High Meadows Ave
Zip Code: 23601 Fax: City: Palm City State:FL
Phone No.757-332-1094 Zip.Code: 34.990 Fax: 866-480-7498
E-Mail:henrymorris@comcast.net Phone No. 772-283-0553 Ext#2
Fill in fee simple Title Holder on next page(if different E-Mail: reception).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.
S.UPP40ENT�"I:CONSTRl1CTI0N
r
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:
1 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�ppermit holder to build the subject structure
Which is in contlictWith any applicable:Home.OwneesAssociation 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 Commencementmay result in your paying twice for
improvements to your property. A Notice,of Commencement must be recorded andposted 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.
'Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF-FLORIDA � ' f, ,(� C UTNTY OF FLORIDA SE t UCA
COUNTY OF L_.L1 —
The goin instrwas acknowled efore me The f goriring instent was acknowledged before me
this 6 day ofint'rtk-
20 by this day of — 20 l� by
J In,J
(Name fps n 'knowledging) (Name of per ,fac n ging)
(Signature of Notary Public-Stat 'of Florida) (Signature of Notary Public-State o Florida)
Personally Known / OR Produced f i cation Personally Known V ORP uced'Identification
Type of Identification Produced Type of Identification Produced
R �°a3s�'�°`
Commission No. R s`o� &aJ �� Commission No.
�RR\'ravE'( 9921%
pclobe�4,0Aaa�°
Revised 07/15/20 %"soy`r o_�y �a�Tn�t`OyFam
C B
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I