HomeMy WebLinkAboutPermit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/17/19
Permit Number:
a
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
Address: 504 NW Winters Creek Road, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 20- Lot E (or 2544-2765; 3017-2512; 3737-1738)
Property Tax lD #: 4422-810-0008-000-1
Site Plan Name: Stewart Residence
Project Name: Stewart Residence
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
X
Lot No.
Block No.
Install PGT Aluminum windguard impact rated 47 CA740, 30 Mull Bars, 21 PW7720A, 5 SGD 770, and
1 Multi part window per layout, product approbals and material list.
CONSTRUCTION INFORMATION:
Additional work to a erformed under this permit —check an apply:
❑HVAC 11 Gas Tank I Gas Piping _Shutters Windows/Doors
Electric El Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 228,439.29
S Ft. of First Floor:
Utilities: Sewer [:] Septic
Building height:
OWNERAESSEE:
CONTRACTOR:
Name Patricia Stewart
Name: Steve Rubin
Address: 504 NW Winters Creek Road
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: 866-480-7498
Phone No. 772-283-0663 Ext #2
E-Mail:
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 52500 or more, a KtGUKMU IVOTICe or Lornmencemem 15 requwcu.
SUPPLEMENTAL CONSTRUCTIOW LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Nat Applicable
MORTGAGE COMPANY: of 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 our Notice of Commencement.
lr� � E r� �_ 0: �
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ?
COUNTY OF
The forgoing instrument was acknowledgedbefore me
this day of zo�Vby
(Name
(Signature of Notary Public- SOe of Florida j
Personally Known OR Pr
Type of Identification Pro RR
5
Commission No. `=ExPuesti
Revised 07/15/2014
Signature of Contra ctWUcense Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument rwas aacknowled eA before me
this aday of ,�(fI[J by
(Name of ers n ack wledging )
(Signature of otary Public- Sta f Florida j
Personally Known OR Produceddo Z��—
Type of identification Produced 1
Commission No.
NGRO
REVIEWS I COUONTER I ROEVI W NING5 REVIEW REVIEW V REVIEW ON 5 REV EWLE MREGETATIEATURTEVIEWVE
DATE
COMPLETE
INITIALS