HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/15/18 SCANNED Permit Number: 5'
BY
St. Lucie County R
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CFO
Building Permit Application MAYI
Planning and Development Services pen-aitt/ 610/B
Building and Code Regulation Division St tueQoePa�
2300 Virginia Avenue, Fort Pierce FL 34982 Cauery ent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Renovation El -
PROPOSED IMPROVEMENT LOCATION:
Address: 12434 Harbour Ridge Blvd. Palm City Florida 34990
Legal Description: Riverside Village Unit 1-1(or4114510)
Property Tax ID #: 4426-510-0001-000-3
Site Plan Name: N/A
Project Name: Martin remodel
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Total interior renovation / overpour existing covered porch / install impact sliding glass doors and
windows /
CONSTRUCTION INFORMATION:
Itwna wor to e e orme un ert ispermlt—check all apply:
RJHVAC Gas Tank Gas Piping _ Shutters Windows/Doors
EjElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 3070 existing Sct. of First Floor: 3070
Cost of Construction: $ $278,000.00 utilities:12Sewer El Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John & Beverly Mahn -
Name: Ed Gdbben
Address:12434 Harbour Ridge Blvd
Company: Gdbben Construction
City: Palm City State:Fl
Zip Code:34990 Fax:
Phone No.865356-1949
Address: 6118 SE Federal Hwy
City: Stuart State:Fl
Zip Code: 34997 Fax: 772-286-2072
Phone No. 772-288-6330
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dave @dreammaker-stuart.com
State or County License: CGC1507879
If value of construction is $ZS00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
vcarurdcK/cNUINrrK: � " Not Ap IIcaole MORTGAGE COMPANY: _ Not Applicable
Name: J• A3 _ t� 5 Sv. Name:.J
Address:'%rS BNX. 301 Address:
City: K% yat State: —i City: State:
Zip: -3p%f 1 Phone_S6 - 615- 697S' Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: N
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: N�rd
Address:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID 1
COUNTY OF /N
COUNTY OF tM�'I
The fo^r,g�oing instrument was acknowledgeg before me
this, day of M,4%i 20a by
The forgoing instrument was acknowledged before me
thisf_9K day of 26a by
Name of pers n making statement
Personally Known, OR Produced Identification
Name of p r n making statement
Personally KnownOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary ,�060969%isswn#G
=Expire
(Signature of Not a I
0669
8, 11 Commission No. i EKpIre?TtvuT�oyFvnu�soCommission
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No. 9g��ru�eepp.ya5.tots
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17