HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/27/17 Permit Number:
•
MAREM
Building Permit Application APR 2 8 2017
Planning and Development Services PERMITTiNG
Building and Code Regulation Division
5t. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building -
PROPOSED'IMPROVEMENT LOCATION:
Address: 12460 Harbour Ridge Blvd#2-7, Palm City, FL 34990
Legal Description: Riverside Village Unit 2-7 (or 3882-1408)
Property Tax ID#: 4426-510-0015-000-4 Lot No.
Site Plan Name: Gardner Residence Block No.
Project Name: Gardner Residence
Setbacks Front Back: Right Side: Left Side:'DETAILED'DESCRIPTIOWO'F WORK: ,
Interior Remodel of condo, To include replacement of the units windows to PGT Alluminum
Single Hung Windows SH-700 70XL Low E glass. plumbing;electrical work all per plan.
There is no gas piping on this project, only to remove and replace existing fireplace with a new one
and connect to current existing as hook up.
CONSTRUCTION INFORMATION
Additional work to be nertormed under t is permit—check all apply:
�HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
ZElectric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1 Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Frederick&Denise Gardner Name: Steve Rubin
Address: 12460 Harbour Ridge Blvd 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. 970-819-9780 Zip Code: 34990 Fax:
E-Mail:fgardner44@gmail.com Phone No. 772-283-0553
Fill in fee simple Title Holder on next page(if different E-Mail: reception1.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.
a
,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: _ of 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.
s
ignature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �;11 /UCit 6 COUNTY OF SI�yC�it
The for oing instru ent was acknowledge{ before me The forgoing instrument was acknowledged before me
this day of 20 l�by this day of { f L— 20 F7 by
(Name o ers a knowledging) (Name of rsa ack owledging)
.fig_
(Signature of Notary Public-State bf to (Signature of Notary7OR
Sta lob
1/ =Personally Known OR Pr a �ti�ft�! Personally Known Produced `�+•8rfoo Y
Type of Identification Produced;:Co R/,� Type of Identification Produced a °io6
ad-
Bo Aires sioq#� yFdo�?p? �d
Commission No. 4�u ��/obe�4 99g?ie ission No. (Seal) ns��do
�Fa�'i�0?0 �oBOQ3es
Revised 07/15/2014 8oa3Bs��/9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE e�nl
INITIALS
L�