HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � 3 �i HNNED Permit Number: \diiol- Oci'13
BY RECEIVED
urie County
SEP 2 4 '11119
Building Permit Application ST. Lucle County, Permltt
Planning and Development Services
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 ,at, III
FKUrlJ3tU IIVIFKUVtlyltl\ll LULA'IIUIV:
Address: 13404 Harbour Ridge Blved 2A, Palm City, FL 34990
Legal Description: Palmetto Village Building 1 Unit 2A (or 3903 - 1240)
Property Tax ID #: 4436-605-0002-000-2
Site Plan Name: Condo # 13404
Project Name: Condo # 13404
Setbacks Front Back:
Right Side: Left Side:
#'DETAILED DESCRIPTION OF WORK -
Interior condo renovation per plan and spreadsheet
Lot No.
Block No.
CONSTRUCTION'INFORMAT.ION:
rtlona wor to e e orme under
E]GasTank
tIspermit—c ec
a apply:
�IHVAC
�GasPiping
_ShuttersWindows/Doors
�✓ Electric ❑✓_Plumbing
❑Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sct. of First Floor: 1749
Cost of Construction: $ 84,870.61
Utilities, 0Septic
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@gmail.com
State or County License: CGC1518190
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: The Constmcfion a Archdecwre Gmup
Address: 6476Knten way
City: Lakevwrth State: FL
Zip: 33467 Phone: 561-776-8698
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _
Address:
City: _
Zip:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the Issuance of a permit.
Phone:
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.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL
COUNTY OF ORIDA �I 1 00 4 COUNTY OF ORIDA "q +r
Th
e f Moing instru was acknowledge before me
th(s day of c.3 I ,(�l �I 20 by
Personally Known V OR Pro entiflcation
Type of Identification ProdWa „oygF1.V0__�0 9
Commission No.
Revised
The for ing instru t as acknowledge efore me
this day of r. t A .20 by
� t
(Name
(Signature of Notary Pubijc
Personally Known
Type of Identification Procit
Commission No.
of Florida )
OR Produced Identification
(Seal)
999219
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