HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-ALL p►PPLIC�1 LE t FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dal Permit Number:
SCANNED RECEIVED
BY
St. Lucie County JUL 0 2 2'018
;, Building Permit Applicati
T. Lucie County, Parmitrin
Pl sinning and Development Services --
B flding and Code Regulation Division
2 00 Virginia Avenue, Fort Pierce FL 34982
Pone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P0."MIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
1491 NW Sweetba Circle, Palm City, FL 34990
�d � ress: y ��
.eFal Description: Harbour Ridge - Plat 9- West Hammock Village Unit 2 (or 4103-871)
I erior Renovation of single family residential home. To include a extension of master bath and rear
p of deck. Generator, Gas Tank, Plumbing, Electric, and Windows per plan. Generator and Tank
p. rmits to be pulled by others.
CONSTRUCTION INFORMATION:
dditional work to (e ne orme un ert is permit —c ec a apply:
0HVAC LJ Gas Tank W]Gas Piping _ Shutters a Windows/Doors
ZElectric ❑✓_ Plumbing O Sprinklers Generator Roof Roof pitch
otal Sq. Ft of Construction: 4,288 S . Ft. of First Floor: 3,084
ost of Construction: $ Q_ DO NOW UtilitiesSewer 0 Septic Building Height:
OWNER/LESSEE
CONTRACTOR.
Name Ellen & Ken Thompson
Name: Steve Rubin
Address: 1491 NW SweetBay Circle
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. 410-382-4789
Zip Code: 34990 Fax: 866-480-7498
E-Mail: kcthompson1589@gmail.com
Phone No. 772-283-0553 Ext #2
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 $25W or more, a RECURRED Notice or commencement is regwrea.
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App
Na
CitJ' State:
Zir)� __ Phone:
SIMPLE TITLE HOLDER: _ Not Applicable
Na''' e: _
Ad , ress:
Cit,I, '
Zits'` � —
Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
_ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
that no work or installation has commenced prior to the issuance of a permit.
Phone:
Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Nh is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
icture. Please consult with your Home Owners Association .and review your deed for any restrictions which may apply.
:onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
following building permit applications are exempt from undergoing a full concurrency review: room additions,
:essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
mmencine work or recording your Notice of Commencement.
/ner/Lessee/Contractot as Agent for Owner Signature
'ATE OF FLORIDA [�� j STATE OF FLORIDAa- )UNTY OF ICOIUNTYOF Lout
ing instrument was acknowledged before me
day of 20 l by
1
Namp-ef-person acknowledging
(Signature of Notary Pub
Personally Known
Type of Identificat n
Commission No. =®i
Revised 07/ 15/2014
OR Produced Identification
SHERRI KELLE�Y( �mmm
g�mission # Fr y99218
xpires Oct*1`4, 2020
ondnen.-.-_ _
The forgoing instrument was acknowledg 'd efore me
this day of (� 20 /Ir by
37-6a 461671
(Name of p so pknowledging )
(Signature of Notary Public- S a of Florida )
Personally Known V OR Produced Identification
Type of Identificatign Produced
Commission No. = .. SHERRIKELLEY (Sea
mission # FF 999218
Expires October4
ru7royFafnInsurance
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