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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE�I"NF MUST BE /O LETED FOR APPLICATION TO BE ACCEPTED /� Date: f �1 Permit Number: `o Lf Fri, _2 MASTS 1164 0 Building Permit Application 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: Window/door PROPOSED IMPROVEMENT LOCATION: Address: Mile Lake Village Condominium Assn., 12600 Harbour Ridge Blvd., Palm City, FL 34990 Legal Description: Mile Lake Village Condominium, Building 5, Units 1 -8, 13266- 13280 Property Tax ID#: 4426-801-0001-000-6 Harbour Ridge Blvd., Palm City, FL 34990 Lot No. Site Plan Name: Block No. Project Name: Mile Lake COA Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace all windows in.each of the 8 units CONSTRUCTION INFORMATION: Additional work toe performed under this permit–check a appy: HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Constructi : Sq. Ft.of First Floor: Cost of Construction:? Utilities:0 Sewer Septic Building Height:93��744_ — — OWNER/LESSEE: CONTRACTOR: Name Mile.Lake COA Name: Steve Rubin Address:12600 Harbour Ridge Blvd. Company: Rubin Custom Homes City: Palm City State:FL Address: 4253 High Meadows Ave. Zip Code: 34990 Fax.772-336-1469 City: Palm CityState:FL— Phone LPhone No.772-336-3000 Zip Code: 34990 Fax: E-Mail:P•epperson@hrycc.org Phone No. 561-222-1392 Fill in fee simple Title Holder on next page(if different E-Mail: receptionl.rubincustomhomes@gmail.com from the Owner listed above) State or County License: CGC1518190 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. / SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: 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 commencing worR or recording our Notice of Commencement. s _Sig # r of 0 n /Lessee/Agent Signature of Contractor/License Hol STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucie COUNTY OF st.Lucie The forgoing instrument was acknowledged before me The forgoing instru nt was acknowledged before me this�day of —10L=9 20 Eby this W day of 20 L L by (Name of person acknowledging) (Name of person acknowledging) GLL (Signature of N tary Public-State of Florida) (Signature of Notary Public-St of Florida) Personally Known. OR Produced Identification Personally Know V/ 6R P€ec ►cldept+#fc-etre Type of Identification Produced n.� _ Type of Identifica i, ced SHERRI KELLEY /� p p •,, T SHIRLEY A S�UNIER MY COMMISSION#EE225005 Commission No.��©�II IOl �: Notary Public t �iiian 0. "'� PIRES Odl )04,2096 a) :My Comm. Expir s Jan 3OCI1,2017 (407)49'M153 Floridatwtaryserviee.t rt tl K Ian Revised 07/15/2014 Bonded Through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS