HomeMy WebLinkAboutBUIDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/15/18 Permit Number:
_ SCANNED BY RECEIVED
_
Bu ldin�g Permit Applicati in JAN 17 2018
Planning and Development Services Permitting
Building and Code Regulation Division ST Yt Lucie County,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Alteration
PROPOSED MPROVEMENT'LOCATION:
r
Address: 12394 Harbour Ridge Blvd 5-5, Palm City, FL 34990
Legal Description: South Shore Village Unit 5-5 or 4015-1948
Property Tax ID #: 4426-807-0037-000-5
Site Plan Name: Hunzeker Bath
Project Name: Hunzeker Residence
Setbacks Front Back: _
.DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Alter current guest bedroom closet to an additional bathroom. Per Plan
Lot No.
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit -check all apply:
11_HVAC Gas Tank,' ❑Gas Piping _ Shutters ❑ Windows/Doors
ZElectric 0 Plumbing []Sprinklers F Generator F]Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 13,000
S Ft. of First Floor: _
Utilities:[]Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth & Patricia Hunzker
Name: Steve Rubin
Address:11310 Stoneledge CT
Company: Rubin Custom Homes
City: Reston State: VA
Address: 4253 SW High Meadows Ave
Zip Code: 20191-3921 Fax:
City: Palm City State: FL
Phone
Zip Code: 34990 Fax:
E-Mail: QO ,\ ap-\C�,\ C U v%/�_
Phone No. 772-283-0553
Fill in fee simple Title Holder on next page (if different
gmail.com
E-Mail: reception l.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.
;UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: ko, CtY
Address• 1\ Z S 4' Cpc r
City: State: L
Zip: 9 Lo . Phone: - �-
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
I" Not Applicable
icable
ble
I certify that no work or installation has commenced prior to the is�
St. Lucie Counter makes no representation that is granting a permit 1 ucture
which is in conflict with any applicable Home Owners Association r jbit such
structure. Please consult with your Home Owners Association and rj
in consideration of the granting of this requested permit, I do hereh j
in accordance with the approved plans, the Florida Building Codes a
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.
Signature of Owner/Lessee/Contractor as Agent for Owner -Signature of Contractor/License Hower
STATE OF FLORIDA STATE OF FLORIDA "
COUNTY OF f� L�l/l l /I I'i COUNTY OF I/ eAL
The f r oing instru! m
s ak o ledgeI
fore me The r oing instras a k owledg efore me
this day of 20by this lfa� day of 20 by
!fi
(Name o e so a Howled 'ng) (Name of p rson .1yedging)
(Signature of Notary P �L y (Signature of Notary Pu-State of F odda )
S RRI b ' -
FE 99218 Y P. �,�� Y
Personally Known Pib�p�a�� i n Personal) Known .••: ••��''• dam,, ication _
ExpTtescio6B4,1� y missio �9�1
Type of Identification P n ,Tre Falnlnturmote8*485a019 Type of Identifica On: d €Expirenn
OF V1 Bonded ThruTroy Fain neurenrs800.385.701
Commission No. (Seal) Commission No.
Revised 07/15/2014
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