HomeMy WebLinkAboutBuilding Permit Application I � I
ALL APPLICABLE INFO,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 'Q
Date: Permit Number: O� " olcrl
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 I'
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT:APPLICATION FOR:
Concrete
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Y FL 34990
2020 NW ROYAL FERN CT PALM CITY i I
Legal Description: HARBOUR RIDGE PLAT 6 ROYAL FERN VILLAGE UNIT 10 (MAP 44/26N
-OR 3085-429)
Property Tax ID#:
4425-605-0024-000-8 i" Lot No.
Site Plan Name: HARBOUR RIDGE I Block No.
Project'Neme: ROYAL FERN VILLAGE j
Setbacks Front Back: Right Side: Left Side:
NMI
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Concrete pad for 38 KW G,enerac generator, form and pour a 42"X 80"X 6?with:4" steel mesh &
5000 lb ready mix concrete
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Additional wor toa er orme under tis permit-check k a apply:
HVAC E]Gas Tank ❑Gas Piping _Shutters I I Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator I Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ �i� Utilities:C2Sewer ElSeptic Building Height:
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Name CATHERINE J JOHNSON (TR) Name: JEFFERYIJ PAU'LY j
Address:2020 NW ROYAL FERN CT Company: JEFFERY J PA,ULY CONSTRUCTION I
City: PALM CITY State:FL Address: 2420 SW MAPLEWOOD DR
Zip Code: 34990 Fax: City: PALM CITY ! State:FL
Phone No.772-204-9956 Zip Code: 34990 I I Fax, NA
E-Mail:cjohnson213660@gmail.com Phone No. 772-263-82681
Fill in feesimple Title Holder on next page(if different E-Mail: jjpcbc.jp@gmail�,com
from the'Owner listed above) State or County License: C,BC 047770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: 1-1
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
cqmMencing work or recording our Notice of Commencement.
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_Signature of O n r/ pe/Agent Sig r f Jntractoen HolderSTATE OF FLO ID STATE OF FL !COUNTY OF LcrC,' COUNTY OFuC�
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The for oing instru ent was acknowledged before me The focr�going instrument was acknowledged before me
this day of Qvyty! _ 20/ by this / day of a,�uar� 20 6 by
Cod-�Y;�✓� s-S�1���0� �������, ��. �au I�
(Name of person acknowledging) (Name of person acknowledging,")
(Sigrufture of Notary Public-State of Flor da) (Sign6ture of Notary Public-State of Florida) /
Personally Known OR PrA_duced Identification Personally Known OR PFI ed Identifiyation
Type ofIdentification Produced N�;yfr� L;Cer�sc Type ofIdentification Produced', � �yeiS. ( "CeL4s (�
Commission No.�G1.S7�3� (Seal) Commission.No.GG/,0713 6 ar�S
'wi Notary Public State o orida
wski
Rozanne Marie Glogowski r ;� My Commission GG t 135
Revised 07/15/2014 ;` tQ My Commission GG 157135 "�o�w Expires 11/01!2021
Expires 11/01.2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE'
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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