HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST
��BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb r'v._
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• , DEC 10 2019
Building Permit Applicatio
Planning and Development Services PerI"i'Pittll•ig L)epui'tment
Building and Code Regulation Division. St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION 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 ID#: 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 and 1 slider to PGT impact rated
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank E:]Gas Piping _Shutters R]Windows/Doors
11 Electric ❑Plumbing Sprinklers 1:1 Generator F]Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ c� /�7, �� Utilities:OSewer OSeptic Building Height:
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Name William Lambert (TR) Name: Jeffery J Pauly
Address:13509 Wax Myrtle Tri Company: Jeffery J Pauly Construction Inc.
city: Palm City State:FIL Address: 2420 SW Mpalewood DR
Zip Code: 34990 Fax: City: Palm City State:FL
Phone No.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.
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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 att ney before
commencing work or record ur tice of Commencement.
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wn r/L see ent Signatu on r/ icen H r
STOF FLORIDA STA OF FLORIDA
COUNTY OF COUNTY OF
The f r oing inst.r ment was acknowledged efore me The f�r�going instr nt was acknowledged before me
this_W day of D e-E. 20 K-by this U day of k J 120 I-by
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(Name of person cknowledging) (Name of person ac r
owledging)
( ignature of ruldtary
/Public-State of Flori a) (Signature of otary b' -State of Florida)
Personally Known ` OR Produced Identification Personally Known�/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ommission No. (Seal)
=oi�;PY Pj, AUDREY B.HUMPHREY __R
i 00817 UMPHREY
A:x MY COMMISSION!#GG 300817
EXPIRES:March 6,2023
Revised 07/15/201 "•'.;F o Bended 7hru Notary Pub'i Underwriters i� EXPIRES:March 6,2023 I
m. •P:
�oLdi�i�o•P' Ronded Thru Nota Public Underw+ritzrs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS