HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;.'� i ,�/• J SCANNED Permit Number: l' I �• (% O
BY
e St. Lucie Countil
ii !l_ ills NW91F RECEI!I@9ED
Building Permit Application
Planning and Development Services NOV 2 1 2017
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: 12394 Harobur Ridge Blvd 5-5, Palm City, FL 34990
Legal Description: South Shore Village Unit 5-5 (or 4015-1948)
Property Tax ID #: 4426-807-0037-000-5
Site Plan Name: Hunzeker
Project Name: Hunzeker Residence
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Install of Exterior windows per layout and product approvals f "O ve Y-)
CONSTRUCTION INFORMATION:
rtiona wor to e e orme under t—checkispermit a apply:
�HW 11 Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric El Plumbing Sprinklers ElGenerator E] Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 25,359.17
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth 8 Patricia Hunzeker
Name: Steve Rubin
Address:12394 Harbour Ridge Blvd
Company: Rubin Custom Homes
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 703-554-3496
Address: 4253 SW High Meadows Ave
City: Palm City State: FL
Zip Code: 34990 Fax: 866-480-7498
Phone No. 772-283-0553
E-Mail: pattihunzeker@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: receptionl.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: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: 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 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.
z s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor7rtMse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S'f LUG COUNTY OF ST L uCtF
The fKping instrument was acknowledged before me
thiday of O/ by
1
(Signature of Notary Publi
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
The for oing instrument was acknowledged before me
this day of OCR 20 L by
(Name of :SNXI;�
(Signature of Notary Publi Stat f Flori
Personally Known OR Prod
Type of Identification Produced
Commission No. _ •wari?-
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