HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONT
ALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: 4/24/18
_ SCAN
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Alteration I
'PROPOSED IMPROVEMENT LOCATION: .
Address: 2506 Holly Berry Lane, Palm City, FL 34990
CATION TO BE ACCEPTED
Permit Number: ,A69^(nG1
RECEIVED
it Application APR 2 6 2.018
ST. Lucie County, Permitting
mmercial Residential X
Legal Description: Harbour Ridge Plat #1 Lot 11 (or 32,98 - 2558)
Property Tax ID #. 4436-601-0011-000-6
Site Plan Name: Harding Residence
Project Name: Harding Residence
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: {
Remove 2 Concrete columns .located on rear
removed, stucco and paint. Per plan
Lot No. 11
Block No.
Install a steal beacm where columns were
CONSTRUCTION INFORMATION: ..;
itiona wor to a nej orme un er t is permit — c eck all apply:
❑HVAC l_J Gas Tank ❑Gas Pipin In _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 9,000
Uti
Sq. Ft. of First Floor: _
s:Sewer ❑ Septic
Building Height:
01NNER/LESS'EE: i
CONTRACTOR:
Name Roger Harding
Name: Steve Rubin
Address: 2506 NW Hollyberry Lane
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. 772-336-8417
Zip Code: 34990 Fax: 866-480-7498
E-Mail: roggey@sky.com
Phone No. 772-283-0553 Ext #2
Fill in fee simple Title Holder on next page ( if different
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 required.
1/
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:)
Zip: Phone:
I
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicab
Name:
Address:
City'
Zip: Phone:
a
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
I
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 permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Ass ciation 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, li 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 Con, mencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtai financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
as Agent
STATE OF FL
COUNTY OF
The forgoing instrur ent wa acknowledg efore me
this day of LVby
(Name of pksdn agknowledging
(Signature of Notary Publi - Stage bf Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission N •�•. SHERRI KELLEY (Seal)
" _commission#FF999218
e? °R es 0ctober4, 2020
'':Fodd�°••'' BondedThruTroyFafnInsurance
Revised 07
Contra
STATE OF FLORIDA& �aC�
COUNTY OF
The forgoing instr ent as acknowledged efore me
this JD day of 20 by
Personally Known _
Type of Identification,
OR Produced Identification
r'ERRIKELLEY Seal)
Commission No. *n#FF999 18
t't' Tres Oclober4 2020
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