HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I V Q
Date: 6/5118 RECEIVED Per it Numb r• v
JUN 2 7 2018
K SIR --=-- ----- .ST. Luke L CountyPe�mittina - JUN 0 7 .. ..
Plannin andDevelo mentServices ""^uvivCU
9 P BY Permi epartment
Building and Code Regulation Division $ UCIe OUnty, FL
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Counl
Phone: (772) 462-1553 Fax: (772) 462-1578 Commer ial—>L Residential X
PERMIT APPLICATION FOR: Window/door II
"PROPOSED IMPROVEMENT LOCATION:
Address: 12472 Harbour Ridge Blvd 3-3, Palm City FL 34990
Legal Description: Riverside Village Unit 3-3 (or 1108-2080: 1586-1505)
Property Tax ID #: 4426-510-0019-000-2
Site Plan Name: Leonhart Windows
Project Name: LeonhatlVUndows
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION -OF WORK:
�n5u m awlnurn G oW s `166 su\ t er (xo UL ny?fcovft
, 'S, CiLCA 1?�u aid r�\aSS • W�,a t �! r�9v,eS .
N INFORMATION:
�HVAC
[J Gas Tank
❑Gas
Piping
UShutters
QWindows/Doors
Electric
1:1Plumbing
Sprinklers
Generator
0
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ _2 , 3
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name llsa Leonhart
Name: Steve Rubin
Address:12472 Harbour Ridge Blvd 3-3
Company: Rubin Custom Homes
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-343-7901
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: rally2468@comcast.net
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.
�\ l
SUPPLEMENTAL CONSTR
ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
of Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
of Applicable
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
commencine work or recordine vour Notice of Commencement.
s
as Agent for Owner SigT ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SE L12 l � COUNTY OF l�
The f ing instruyQnt was acknowledge before me
this day of .JUNK 20 by
(Signature of Notary Pub
Personally Known
Type of Identificatj ppm
Commission No.
Revised 07/15/2014
The f ing instrum t w s acknowledged before me
this day of y 20 LE by
g-115i[6
(Name of PO_sbri ackhowledging )
(Signature of Notary Public- Staid of Florida
Personally Known Oc,VB�
Type of IdentificatioVol'
I �d5% ♦Fi
Commission No. p,.ezemliv
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