HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:3n119 SCANNED Permit Number: ANICA01
BY
St. Lucie County REn
Building Permit Application APR of 1019
Planning and Development Services St. 9cue Went.
Building and Code Regulation Division ty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Alteration III
Address: 1550 NW Buttonbush Circle, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 13 - Buttonbush Village Unit 44
Property Tax ID #: 4426-815-0051-000-4 Lot No.
Site Plan Name: Dion Residence Block No.
Project Name: Dion Residence
Setbacks Front Back: Right Side: Left Side:
I'DETAILED DESCRIPTION OF WORK: III
Interior renovation of kitchen, Laundry room, Master Bath, Secondary Bath, Powder Room, Family
Room, and foyer. Electrical and Plumbing only NO A/C, NO SF Addition
I CONSTRUCTION INFORMATION; III
[ IHVAC L.JGasTank UGasPi
Electric 1z Plumbing [:]Sprinl
Total Sq. Ft of Construction: 2,500
Cost of Construction: $ 189,325.10
ing 1i Shutters ❑ Windows/Doors
2rs 11 Generator 0 Roof Roof pitch
S . Ft. of First Floor: 2,542
Utilities.nSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pierre Dion & Susan Blaur
Name: Steve Rubin
Address:416 Mayfair Ave
Company: Rubin Custom Homes, LLC
City: Ottawa State: ON
Zip Code: KIY OK5 Fax:
Phone No.613-769-9002
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: dionpir@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 S2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: ANot 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 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
Signature`af Owner/LesVlcontract§-Agent for Owner Signature of Contractor/License noioer
STATE OF FLORIDA (/ STATE OF FLORIDq
COUNTY OF COUNTY OF
The f r ing instrup2eryt was acknowledge efore me The for oing instrume t was acknowledged before me
this 27day of A-60 20rby this day of GJ 20 /E by
(Nam erso acknowledging) (Name of erson acknowledging)
(Signature of Notary Pu c- State of Florida) (Signature of Notary Pub' - State of Florida )
Personally Known OR P duc)I entiI tion Personally Known OR Produced Identification
yae of It= nt (- at Produced 3U �U Type of Identificati 11
L(,�,J V/
T+,i;�wa"�•.,, SHERRI KELLEY
Commission No. .::eft••• SHERR K Commission No. _' +'CommissiontZFR�31y
..�j§Y......, - •- --.
Revised 07/
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