HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/7/18 Permit Number:
6v A3 5
IIIMMINENIMIlh
RECEIVED
COUNTY
F L OR I D A ' SEP 1 71018
MINIMINEMENNIONEMIEW Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division
St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Siding
PROPOSED IMPROVEMENT LOCATION:
Address: 12831 NW Cinnamon Way, Palm City, FL 34990
Legal Description: Cinnamon Village Harbour Ridge-Plat 3-Unit 15(or 3486-848)
Property Tax ID#: 4425-602-0027-000-0 Lot No.
Site Plan Name: Alberto Residence Block No.
Project Name: Alberto Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove all Hardiplank siding from entire portion of exterior single family residence and replace with
III
Stucco
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all;ha apply:
❑HVAC II Gas Tank Gas Piping Shutters QWindows/Doors
III
LIElectric 0 Plumbing 0Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 32,900.00 - Utilities: I I Sewer 111Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gino&Karen Alberto Name: Steve Rubin
Address:12831 NW Cinnamon Way 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.772-807-5531 Zip Code: 34990 Fax: 866-480-7498
E-Mail:karenalberto3@gmail.com/gino.alberto@att.net Phone No. 772-283-0553 Ext2 •
Fill in feesimple Title Holder on next page(if different E-Mail: receptionl.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
commencing work or recording your Notice of Commencement. •
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA1_—• l STATE OF FLORIDA�,
COUNTY OF 1 ! ,LjC>t- COUNTY OF 371 LOC /.iE-
The fp oin instru •-nt wasracknowled a fore me The for oing instru nt was cknowledged fore me
this " 1 day of , _ !.A 20 1by this " / day of ,20 bY by
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Name o
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o •erson�`knedging) (Name of 9a now dging)
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(Signature o 1 ot.ry Public-State of FI fi a) (Signature of Notary Public-State of lorida)
Personally Known S: '`s @en It 'cation Personally Known t,'---OR Produced Identification
Type of Iden ' . = ••grid Type of Identification Produced
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Commi inn,;.•;4Comm'Won# 4 2020 Commiss •+n,, ,; SHERRIKELLEY
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