HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLISABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/14/19 � Permit Nu�im
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
JAN 18 2019
ST. Lucie County, permitting
Residential X
PERMIT APPLICATION FOR: Siding III
PROPOSED IMPROVEMENT LOCATION' SCANNED
Address: 12827 NW Cinnamon Way, Palm City, FL 34990
Legal Description: Cinnamon Village Harbour Ridge - Plat 3 - Unit 13 or (3366-1225: 3980-2650)
Property Tax ID #: 4425-602-0025-000-6
Site Plan Name: Warner Residence
Project Name: Warner Residence
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replacement of Hardi Plank siding on entire house NOA's included
INFORMATION:
11HVAC U Gas Tank
11Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 35,000.00
Lot No.
Block No.
aermit —checka apply:
Gas Piping _ Shutters Windows/Doors
Sprinklers Generator 0 Roof = Roof pitch
S Ft. of First Floor:
Utilities:n Sewer O Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Gregory & Elizabeth Warner
Name: Steve Rubin
Address:12827 NW Cinnamon Way
Company: Rubin Custom Homes, LLC
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.772-873-6676
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34990 Fax: 866-480-7498
Phone No. 772-283-0553 Ext#2
E-Mail: gregory.p.wamer@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: recepbonl.rubincustomhomes@gmail.com
State or County License: CGC1518190
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: of Applicable
Name:
MORTGAGE COMPANY: _ t Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: ,\plicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 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 vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner signature or contractor/License Homer
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