HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
2126/19
Building Permit Application MAR o
Planning and Development Services % zuiR
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Siding ,.,. ,,,,, III
Address: 12798 NW Cinnamon Way, Palm City, FL 34990 St. Lucie County
Legal Description: Mariner Village Harbour Ridge - Pkat 3 - Unit 38 (or 3529-1837)
Property Tax ID #: 4425-602-0037-000-3
Site Plan Name: Lutz Residence
Project Name: Lutz Residence
Setbacks Front Back: _
DETAILEDDESCRIPTION OF WORK-
Right Side:
Left Side:
Lot No.
Block No.
Replace Siding on Right and Left side of home only Per Product approved hardi plank spec's
CONSTRUCTION INFORMATION: Ill
❑HVAC Gas Tank ❑Gas Piping ❑Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: SgI�Ft.I of First Floor:
Cost of Construction: $ 27,500 Utilities: IlSewer ❑Septic Building Height:
OWNER/LESSEE: "
CONTRACTOR`. ` ` •> ,, .,
Name Andrea V Lutz,' r, -�_
Nameeve Rubin -
Address:12798 Cinnamon,way; ., , _ , ;.`.`' ,
i.
Compa`riy:-Rubin,Custom H6me_s n,
City: Palm City ` �' :- `-`e` t - <I State: FL
Zip Code: 34990 Fax ^.; `
Phone No. 772-336.2042 r; '
Address: 4253 SW Hk li Meadows Ave ,i
City; Palm CityState: FL
Zip Code: 34990 Fax- 866-480-7498
Phone No. 772-283-0553 Ext#2
E-Mail.andrealutzl1@gmaii.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: receptionl.mbincustomhomes@gmail.com
State or County License: CGC1518190
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:;
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 1 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/Contracto0Js Agent fop
ner
STATE OF FLORIDA Q_/ / ' ,n , L
COUNTY OF �/ [—I/L�Gc.
The fo ing instrument was acknowledged efore me
this7dayof 42&e �.� . 20 [I.by
v auy n ain nu menuua:auun
Type of Ident�cation Pro .., � cY
Commission
Revised
O S
Sign ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The fo going instrument was acknowledged efore me
this day of M✓-r . 20 r by
(Signature of NotarV Publi�c- St
,
Personally Known ✓ OR
Type of Identification Produce(
Commission No.
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