HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit-Number:
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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 Residential X
PERMIT
yAPPLICATION FOR: Demolition
Address: 1651 NW Sweet Bay Cir. Palm City FI 34990
Legal Description: Harbour Ridge- Plat 8- Sweet Bay Village Unit 39 ( OR 4044-2490)
Property Tax ID#: 4426-803-0062-000-7 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Sweet Bay Village
Setbacks Front Back: Right Side: Left Side:
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INTERRIOR WALLS, CABINETS lL��e / Gc � 4Z�c�t`l� Le au-S
Sam
Additional work to be nertormed under this permit-check a t appy:
HVAC Gas Tank Gas Piping _Shutters ®Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Cr:C)O.DeD- Utilities:l"_ISewer Septic Building Height:
Name Linda L Miller Name: Jeffery James Pauly
Address:"1651 NW Sweet Bay Cir Company: Jeffery J Pauly Construction Inc.
City: Palm City State:FL Address:
Zip Code: 34990 Fax:NA City: Palm City State:FI
Phone No.954-304-0994 Zip Code: 34990 Fax: NA
E-Mail:linmil171 @gmail.com Phone No. 772-263-8268
Fill in fee simple Title Holder on next page(if different E-Mail: jjpcbc.jp@gmail.com
from the Owner listed above) State or County License: CBC 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: _Not Applicable y
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.
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 thepermit 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 recordin r NQtice of Commencement.
SigQoqV Lesse /C ractor as Age for 0 ner Signe o.1 or/ i enseC4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFh �
The forgoing instrument was acknowled d before me The foVoing instrument was acknowledged before me
this day of V61) 2dby this L day of tVGV 20a_ by
N f person making s tement a of person making tement
Personal) Kn wn OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary c- t e o Florida) (Sign re of Notaryublic-State o Florida)
Commission No. .•`o�"R�"�Qya (II�1HNA INGRAN► Commission NLi "IA INGRAM
NNotary Public-State of Florida Notary public-State of Florida
y Comm.Expires Dec 20,209 ?9" aa,c MY Comm.Expires Dec 20
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REVIEWS F�20 'MIN. rough PLANS VEGETATID I +Ah `;qA'N,�
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW �"REVIEIN
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17