HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1-17-184 _7.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
14
Date: 1/3/18 Permit Number:
NX
Luc1e Go��� RECEIVED
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
PERMIT APPLICATION FOR: Building
JAN 17 2018
ST. Lucie County, PQrmltting
Residential X
PROPOSED IMPROVEMENT LOCATION: -
Address: 12774 NW Mariner Court, Palm City, FL 34990
Legal Description: Harbour Ridge Plat 4 Tract D or 4032-2438
Property Tax ID #: 4425-603-0011-000-8 Lot No.
Site Plan Name: McCoy Residence Block No.
Pmiect Name: McCoy Residence
Setbacks Front. (Back: QG, Y+ight Side: _Q_qLeft Side:
DETAILED DESCRIPTION OF WORK:
New Build of Single Family esidence per plan. �'1 '���
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[:CONSTRUCTION INFORMATIOW
AdclitionaiworKtobenertormedunder this permit— check all tha apply:
ZHVAC LJ Gas Tank W]Gas Piping _ Shutters a Windows/Doors
ZElectric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 10,522 S Ft. of First Floor:
Cost of Construction: $ 1.4 Million Utilities:0 Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Caryl & William H McCoy II
Name: Steve Rubin
Address: 114 Pennsylvania Ave
Company: Rubin Custom Homes
City: Bryn Mawr State: PA
Address: 4253 SW High Meadows Ave
Zip Code: 19010-3111 Fax:
City: Palm City State: FL
Phone No. 610-733-0526
Zip Code: 34990 Fax:
E-Mail: macmccoyii@yahoo.com / carylmccoy@yahoo.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 requires.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: cx Not Applicable
Name: Kelly& Kelly Architects Name:
Address: 119 Swsth Street Address:
City: Stuart State: FL City: State:
Zip: Phone: 772-283-3492 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
city:
Zip: Phone:
x Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
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.
/— — s
ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,1a Irf�l�L COUNTY OF .�+ ��C.P,�
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this day of 20by
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Type of Identification
Commission No.
Revised 07/15/2014
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