HomeMy WebLinkAboutPermit App (2)e LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:N� i Permit Number:
i
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1800 Button Bush Circle, Palm City, FL 349901 Owned By the Harbour Ridge Homeowners Association
Legal Description: Bayberry Pool located at 180ADutton Bush Circle, Palm City, FL 34990, Bayberry Village
Pool Owned by Association their property Tax ID is1 below
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Property Tax ID #: '--C"�(V��j 'Lot No.
Site Plan Name: Bayberry Pool Block No.
Project Name: Bayberry Pool
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
BAYBERRY POOL AREA: Cut Concrete lower than existing tie beam. Cut Concrete approximately
36" from Floor. Side Block to Remain. Removal of all cabinets, countertops, slab below cabinet, bbq
grill and exhaust hood shall be removed and placed in dumpster. Contractor to add Bond Beam at Sill
of cut out wall. Move Z GFIs within the wall opening Per Plan included with Application
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this permit —check all that appy:
Gas Piping Shutters Windows/Doors
HVAC Gas TankEl
Electric LJ Plumbing Sprinklers Generator I� Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,400 Utilities: OSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_
Name: Steve Rubin
Company: Rubin Homes, Inc
Address: 12600 Harbour Ridge Blvd
City: Palm City State: FL
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-336-3000
Zip Code: 34990 Fax: 866-48-7498
E-Mail:
Phone N o. 772-283-0553 Ext 2
Fill in fee simple Title Holder on next page ( if different
E-Mail: reception1.rubincustomhomes@gmail.com
State or County License: CGC1521765
from the Owner listed above)
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:
Addr �{�,
FRONT
Address:
SUPERVISOR
City:
State:
City:
State: f
Zip: Phone:
COUNTLK
Zip: Phone:
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FEE SIMPLE TITLEHOLDER:
Not Applicable
° BONDING COMPANY:
�iot Applicable
Name!
€Verne:
Address:
•Address:
COMPLETE
City:
city:
Zile: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St_ Lucie County stales 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 appilcatior.s are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams 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 Wlqrk or recording your Notice of Commencement.
'Lure of Owner/LesseeyContra ctor as Agentfor Owner
STATE OF FLORIDA
COUNTY OF �Vj
The forgoing instrument was acknowledged before me
this day OF _rii. 20 tLi'E'
of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF VIA CL -�—r.•�
The forgoing instrum
�ent
,,was acknowledged before me
thi day of J �rIC-- r/L 2-0 9(' by
(Marne of person acknowledging) !Name of person acknowledging 1
(Signature of Notary Public- State of Florida )
Personally Know �R Produced Identification
Type of ldentif tion Produced
Commission No.
—NICOLE BRATTON
State of Florida -Notary Public
,+iIV9e; My Commission Expires
Revised 07/15 UTIM 5I„ May 07, 2022
r
€gnat re of Notary Public- State of Florida }
Personally Known OR Produced Identification
Type of ldentiric ion Produced
Commission No.
NICOLE BRATTON
State of Florida -Notary Publ
My Commission Expires
May 07, 2022
REVIEWS
FRONT
70NING
SUPERVISOR
PLANS
VEGETATION
SEA, TLIIRTLE
MANGROVE
COUNTLK
RLfVIEW
RLVl'EW
KFV(ffW
REVIEW
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COMPLETE
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INITIALS
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