HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater t `� Permit Number:
By
C ` - Bt Lucie County
No 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 Residential X
PERMIT APPLICATION FOR: Window/door
"PROPOSED.,IMPROVEMENT LOCATION:
Address: 13503 NW Coco Plum CT, Palm City, FL 34990
Legal Description: Harbour Ridge Plat # 1 Lot 30 (or 3940-1048)
Property Tax ID #: 4436-601-0030-000-5
Site Plan Name: Brown Residence
Project Name: Brown Residence
Setbacks Front Back: Rig lht Side: Left Side:
DETAILED DESCRIPTION OF WORK:'- ,
Lot No. 30
Block No.
Install of Front Entry Door per product approval and install of aluminum white frame solar ban 70 Low
E impact resistant glass windows for entire home per product approvals=oc���C�c��
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit —check
EJHVAC 0 Tank ❑Gas Pi�ping
all
apply:
Shutters
Q Windows/Doors
Gas
_
11 Electric 0 Plumbing
[]Sprin
lers
[]Generator
Roof Roof pitch
Total Sq . Ft of Construction:
45,986.21
S . Ft. of First Floor:
0 0
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
.OWNER/LESSEE:
CONTRACTOR:;
Name Linda Brown
Name: Steve Rubin
Address: 24534 Fortune Trail
Company: Rubin Custom Homes
City: West Lake State,: OH
Address: 4253 SW High Meadows Ave
Zip Code: 44145-4194 Fax:
City: Palm City State: FL
Phone No. 216-408-3482
Zip Code: 34990 Fax: 866-480-7498
E-Mail: Dbrown@clevelandpunch.com
Phone No. 772-283-0553
Fill in fee simple Title Holder on next page (if different
E-Mail: reception1.rubincustomhomes@gmail.com
State or County License: CGC1518190
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
t
SIJP$PLEMENTI
DESIGNER/ENGI
Name:
Address:
City:
Zip:
Phone:
x Not Applica'i
IRMATION'
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granti
which is in conflict with any applicable Home Owners A
structure. Please consult with your Home Owners Asso
In consideration of the granting of this requested perm
in accordance with the approved plans, the Florida Buil
The following building permit applications are exempt 1
accessory structures, swimming pools, fences, walls, sib
WARNING TO*OWNER: Your failure to Record a
improvements to your property. A Notice of C
before the first inspection. If you intend to ob
commencing work or recording your Notice of
ature of Owner/Lessee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF
The f ing instruWt acknowledge efore
this day of 20 by
It
ST6x':�_ ejbl�
n ecKnowieaging
(Signature of Notary Public -
Personally Know1.r
Type of Identificatip%fd
Commission No.
Revised 07/15/2014
g a permit will authorize the permit holder to build the subject structure
sociation rules, bylaws or and covenants that may restrict or prohibit such
iation and review your deed for any restrictions which may apply.
:, I do hereby agree that I will, in all respects, perform the work
ing Codes and St. Lucie County Amendments.
om undergoing a full concurrency review: room additions,
is, screen rooms and accessory uses to another non-residential use
Notice of Commencement may result in your paying twice for
)mmencement must be recorded and posted on the jobsite
ain financing, consult with lender or an attorney before
Commencement.
s
ier Signature of Contractor/License Holder
STATE OF FLORIDA �r I ` � C
COUNTY OF o1I l_V(i
The forgoing instr ment as acknowledged efore me
this day of 20 by
(Name of persoka-knpwjedging )
of Florida ) (Signature of Notary Pu%Produced.
ate oMforida )
duced Identification Personally Known Identification
Type of Ldentification Produced
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