HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETE ��V3I�I� LOOV BE ACCEPTEDn 11 Ir 1 I
Date: �� r LaOV
Number:
OCT 242017
PER"A I TT I N G RECEIVED
i
Building �erm`�A�pplication
Planning and Development Services OCT 2 4 2017
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Luck County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 13509 NW Wax Myrtle Trl
Legal Description: Harbour Ridge Plat no 1 Lot 23 (OR 1133-2347: 1220-859; 3486-1026)
Property Tax ID#: 4436-601-0023-000-3 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Change out two exterior side door, front door with sidelights, and 3 windows to impact rated
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit—check a appy:
HVAC 11 Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ � (�� [7f j Utilities:cnSewer 1:1Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name
William Lambert Name: eery i Pauly
Address: 13509 NW ax Myrtle I r Company: eery J Pauly onstruc Ion Inc.
City: Pam I y State:_ Address:Fr— 2420 6W Maplewood r
Zip Code: 34990 Fax: City: Pam Uty State:
Phone No.215-385-1126 Zip Code: 34990 Fax: NA
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: jjpC c.)p gmal .com
from the Owner listed above) State or County License: UBC047770 10811
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: NA Name: NA
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:NA Name:NA
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 attfr7 be re
commencing work or recpVing YINr Notice of Commencement.
ZTE
ur of r/Less /C t ctor as Agen r Si ur tractor i se of er
OF FLORID)( STATE OF FLORID
COUNTY OF COUNTY OF
The r,ging instru t�as acknowledg efore me The f ing instr t as acknowledge before me
thisday of 20rby this day of MET- by
�� r✓ Q FFA L
Name of pe on making state ent / Name of persol4makinj statement /
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification ✓
Type of Identif' 'on Type of Identific n
Produced Produced
i
o_
(Signature of Notary P (Si nature of
KAR N S. NIELSEN KAREN S.7N1E!!L!!:S71N�' Ion N FF 115637 •°�." °•,c,Commission No. _ .? Con1$W ommission N Commission ea
115637ssion Expires -. ommissi , --,res
o•••: i Y
.'?o...�'. June 12, 2018 + '= June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17