HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application SEP 24 2019
Planning and Development Services . ST. Lucie County, Permltting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Renovation_ c_,,,
PROPOSED IMPROVEMENT'LOCATION:
Address: 12463 Harbour Ridge Blvd 2A, Palm City, FL 34990
Legal Description: Palmetto Village Building 5 Unit 2A (or 3844 - 2161)
Property Tax ID #: 4425-620-0014-000-2 Lot No.
Site Plan Name: Condo # 12463 Block No.
Project Name: Condo # 12463
Setbacks Front Back: Right Side: Left Side:
('DETAILED DESCRIPTION OF WORK:
VInterior condo renovation per plan and spreadsheet
QLC/\
`CONSTRUCTIONINFORMATION:
in nne nrme un nr4 i nc. mi*—r or .11 _Y of.nnv
0HVAC GasTank ❑Gas Piping
ZElectric ❑✓_Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 96,694.39
Shutters Z^ Windows/Doors
U
Generator Roof = Roof pitch
Sq�F_t_l. of First Floor: 1749
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEES
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 Fxd #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: receptioni.rubincustomhomes@gmail.com
State or County License: CGC1518190
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR''UCTION:LIEN1AW.INFORMATION
DESIGNER/ENGINEER: x Not Applicable
Name: The ConstructonBArchitecture GrouP
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 647r Nmen way
Address:
City: State:
Zip: Phone:
City: Lakewbnh State: F_
Zip: 33467 Phone: 561-715.8898
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
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 Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA e .
COUNTY OF_ z) 'w'X COUNTY OF cam, �
The forgoing instru ent as acknowledg 6-before me
this day of 20� by
of Notary
Personally Known
Type of Identificatic3>
Commission No.
Revised 07/
The fo oing inst ent w s acknowledge efore me
this day of �2�0jM by
(Name f p o acknowledging)
(Signature of NotaryPu/blif a of Florida )
Personally Known V OR Pr d992� entigcation
Type of Identification Pro KEt. ae
SN \ss\oa 4 q quo-
Commission No. beq
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