HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , SCANNED Permit Number: 1`�09� 01-% S
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services SEP 24 '()19
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Sr. LUCIe County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 13468 Harbour Ridge Blvd 2A, Palm City, FL 34990
Legal Description: Palmetto Village Building 5 Unit 2A (or 3844 - 2161)
Property Tax ID #: 4436-605-0034-000-5
Site Plan Name: Condo # 13468
Project Name: Condo # 13468
Setbacks Front Back:
Right Side: Left Side:
('DETAILED DESCRIPTION OF WORK:
Interior condo renovation per plan and spreadsheet
CONSTRUCTION INFORMATION:
LJHVAC L.JGasTank LJGa:
ZElectric 0 Plumbing �Spi
Total Sq. Ft of Construction:
Cost of Construction: $ 96,828.88
Lot No.
Block No.
nu—uIecrt du dppry:
Piping _Shutters Windows/Doors
nklers 1: Generator 11 Roof Roof pitch
_ S Ft, of First Floor: 1749
Utilities: []SewerElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Harbour Ridge POA
Name: Steve Rubin
Address: 12600 Harbour Ridge Blvd
Company: Rubin Custom Homes
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-336-3000
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: p•epperson@hrycc.org
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: receptionl.rubincustomhomes@gmaii.com
State or County License: CGC1518190
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r
'SUPPLEMENTALCONSTRUCTION; LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: The Construction& Architecture Group
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 6476 Kirsten war
City: LakaWbrth State: FL
Zip: 33467 Phone:56tat5aesa
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Address:
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 thedpermit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws or an 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 II ,, 11 STATE OF FLORIDA
COUNTY OF L (/PiGE COUNTY OF ST LJ%Cil E
The f r oing instrumer�r,wa acknowledged fore me
thi day of l lil . 20 II by
Personally Known ✓ OR Produced IdentificatioameA
Type of
Commission No.
Revised 07/15/2014
The for oing instrument was acknowledged efore me
this34 day of .Tug 20 by
G-634 �
(Name o ersyn a tnowledging )
(Name
of Notary Public- Stai&bf Florida )
Personally Known OR Produced Identificat'
Type of Identification Produced
mission
s.
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