HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9 0—'7�D 5 `�
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`Date: 13
7_��_�� St. Lucie Count bL
___-- JUL 26 2019
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 906 NW Winters Creek, Palm City, FL 34990
Legal Description: 906 NW Winters Creek Road 7, Palm City, FL 34990
osprey Village Unit 3-7
Property Tax ID #: 4422-805-0023-000-6 Lot No.
Site Plan Name: Dacus Residence Block No.
Project Name: Dacus Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I�I
Interior Renovation ,r Replacement of all windows to aluminum
Windguard PGT Insulated, impact rated with Low E Glass. Install front entry door and garage door.
Product approvals and plans are submitted with permit application. -{ i 17 e p-� X e
CONSTRUCTION INFORMATION: �II
A AS,+.. ..,^r Yn nnn ^rMnA un nrY is ..rmm —,hark nil t wY annv
if IHVAC L�LlGasTank
ZElectric 1:1 Plumbing
Total Sq. Ft of Construction: 3059
Cost of Construction: $ 373,020.17
Piping _Shutters Windows/Doors
nklers ® Generator 11 Roof = Roof pitch
S Ft. of First Floor: 3059
Utilities:llSewerOSeptic Building Height:
OWNER/LESSEE:-
CONTRACTOR:
.
Name Debbie Dacus
Name: Steve Rubin
Address: 906 NW Winters Creek
Company: Rubin Custom Homes
city: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.281-804-4489
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: debdacus@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.
SUPPLEMENTAL CONST
DESIGNER/ENGINEER: -
Name: '
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
r
N LIEN LAW INFORMATION:
X Not Applicable
MORTGAGE COMPANY:
Name: x
Address:
City:
Zip: Phone:
X Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
^s
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.
as
STATE OF FLORIDA �/_Le/�
COUNTY OF '
The fo Ing instrum t•was acknowledge efore me
this day of uL� 20/y
/by
Signature
STATE OF FLORIDA Lu�.1E
COUNTY OF l;/
The forgoing instrument w.as acknowledged before me
this ' day of 7�� by
(Signature ofNotary
1 Public- Stat Florida) (Signature of Notary Public- St4g lofFlorida )
/�
Personally Known 1- OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
w,.. SHERRIKELLEY SHERRIKELLEY
Commission No. -5?r: ._.«ccaf6RRl) Commission . $i'Pat"R"i'r ..__.n.aen$FF99921(Seal)
Revised
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