HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: Permit Number: L—
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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
PERM IT'APP.LICATION FOR: Window/door
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Address: 13509 NW WAX MYRTLE TRI PALM CITY FL 34990
Legal Description: Harbour Rdige Plat N01 Lot 23 (OR 1133-2347; 1220-859; 3486-1026 )
Property Tax[D#: 4436-601-0023-000-3 Lot No.
Site Plan Name: Haharbour Ridge Block No.
Project Name:
Setbacks, Front Back: Right Side: Left Side:
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replace 4 set of windows to PGT impact rated
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Additional work toa er orme un er t is^permit—c ec a app y:
HVAC E]Gas Tank11 ❑Gas Piping _Shutters ✓❑Windows/Doors
Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ e Utilities:zSewer Septic Building Height:
�yyc�s��: �w �� L �YS✓�l €$ 5 ��xr� r' mi
Name William Lambert (TR) Name: Jeffery J Pauly
Address:13509 Wax Myrtle Tri Company: Jeffery J Pauly Construction Inc.
city: Palm City State:FL Address: 2420 SW Mpalewood DR
Zip Code: 34990 Fax: city: Palm City State: FL
Phone N6.215-385-1126 Zip Code: 34990 Fax: none
E-Mail:lambew@yahoo.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: #10811 CBC047770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: NA Name: NA
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: NA Name: NA
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recordi ur Notice of Commencement.
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Si a ner/L s ee/ nt Signat tr r/Lice a Hoiditli
STATE OF FLORID STATE OF FLORIDA
COUNTY;OF COUNTY OF
The fo oing instrument was acknowledge -before me The fo,r�oing instrument was acknowledged before me
this 16 day of �� 20 acknowledged
this_J day of 06 1! ,20 /$ by
n,o, Nal "-pr"J,
(Name of p cknowledging (Name n acknowledging)
(Sig%a,4jrdLof Notary Publi4stateFlorida) (Sig re of Notary Public-State cO Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
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."" LASHAHNA INGRAM LASHP.HNA IN-GRAM�Pu•. State Oi Florida
-O .`,P e� t v Public a
• :•-My Comm.Expires Dec 20,20?9 �*.c My Comm.Expires u .
Revised 07/15/2'19* o; Commission#FF 177249 :N* oQ Commission FF 177249 ,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI N SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS