HomeMy WebLinkAboutBuilding Permit Applicationt
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,{
Date: 8/17/17 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Faz: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Addition
PROPOSED IMPROVEMENT LOCATION..
Address: 2016 NW Laurel Oak Lane, Palm City, FL 34990
Legal Description: Harbour Ridge -Plat 6 -Laurel Oak Village Unit 8 (Map 44/26N) Or (4001-2803)
Property Tax ID #: 4425-605-0041-000-3
Site Plan Name: Liteplo Residence
Project Name: Liteplo Residence
Setbacks FronL oBack: _ Right Side: Left Side: 911
r}
(",DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove partial roof to 'allow for new tie in. New screen porch enclosure. Replacing 12 windows to be
PGT Impact insulated glass, bronze frames to match existing windows that are currently code efficient.
Install 6 PGT impact insulated Sliders to rear of addition. Plumbing is only to install new kitchen sink.
New Electric outlets,LED's, Dimmers, Switches, light fixtures etc. Run line from gas tank to BBQ
CONSTRUCTION INFORMATION:
itional work to,beperformed under this permit —check all apply:
HVAC LJ Gas Tank ❑� Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 190,000
Shutters Q Windows/Doors
Generator W1 Roof Roof pitch
S Ft. of First Floor:_
Utilities. Sewer E]Septic
Building Height:
OWNER/,LESSEE:
CONTRACTOR:
Name Merrill Litpelo
Name: Steve Rubin ---
Address: 2016 NW Laurel Oak Ln
Company: Rubin Custom Homes
City: Palm City State: _
Address: 4253 SW High Meadows Ave
Zip Code: 34990 Fax:
City: Palm City State: FL
Phone No. 978-549-5804
Zip Code: 34990 Fax:
E-Mail: mandmlitepio@gmail.com
Phone No. 772-283-0553
Fill in fee simple 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 requirea.
,.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 vour Notice of Commencement.
Signature of
as Agent
of Contractor,
STATE OF COUNTY OF FLORIDA � � COUNTY OF STATE OF ORID T L
The forgoing instru ent Nas acknowledge0efore me The orgoing instr ment was acknowledged me
this ( day of 20 by this day of 20 by
J am- eu
(Namq-of-persg"cknowledging) (Name of won acknowledging)
(Signature of Notary Public -
Personally Known Z C
Type of Identification Produi
Commission No.
Revised 07/15/2014
(Signature of Notary FFublic- State
Personally Known OR I
Type of Identification Produced
Commission No.
REVIEWS
FRONT
ZONING
SUPER OR
PLANS
VEGETATION
SEA TURTLE
MA
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVW
DATE
COMPLETE
INITIALS