HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U � k _-- �Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Interior Remodel
PROPOSED IMPROVEMENT LOCATION: --
Address: 1328 LANCEWOOD TER PALM CITY FL 34990
Property Tax ID #: 4426-804-0018-000-7 Lot No.
Site Plan Name: HARBOUR RIDGE Block No.
Project Name: LANCEWOOD VILLAGE
DETAILED DESCRIPTION OF WORK:
Redo Kitchen,Master bath, Guest bath, Powder bath, Laundry, Modify 7 window openings, Plumbling
Eletrical,Gas line to cook top, Painting, Drywall, Doors and Trim,Cabinets & Tops,New flooring
New Electrical Meter Second Electrical Meter
_
CONSTRUCTION INFORMATION: --- _.__-----
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond
.)C Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 192,529.00 _ Utilities: _ Sewer _ Septic Building Height:
--- ---- -- -- -- - — --- -- ------
OWNER/LESSEE: CONTRACTOR:
Name DAVID KELLY (TR) JILL MARIE KELLY (TR)
Name: JEFFERY J PAULY
Address: 1328 LANCEWOOD TER
Company: JEFFERY J PAULY CONSTRUCTION INC.
City: PALM CITY State: _
Address: 2420 SW MAPLEWOOD DR.
Zip Code: 34990 Fax:
City: PALM CITY State: FL
Phone No. 802-451-6233
Zip Code: 34990 Fax:
E-Mail:Jmkncl7@gmail.com
Phone No 772-263-82687
Fill in fee simple Title Holder on next page ( if different
E -Mail jjpcbc.jp@gmail.com
State or County License CBC047770
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN & BRADEN AIA, PA
Address: 417 SE COCONUT AVENUE
City: STUART
Zip: 34966 Phone 772-287-8258
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: NA
Address:
Citv:
Zip: Phone:_
MORTGAGE COMPANY: _ Not Applicable
Name: NA
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: NA
Address:
City:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lander nr an attnrnev hefore commencine work or recordine vour Notice of Commencement.
Rev. 5/6/20
Signa a r/ L , ee/C ractor as Age r Owner
C L
Signatylof r t ns o
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF IW19,41 1-2
Sworn to (or affirmed) and subscribed before me of
Swoyn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
this L% day of -M e-- 2020 by
this L day of J a,,7 e-- 12020 by
Je_(�Qe-r y : wlt
�--(� 4�e-rI '::�' F0 t.,
Name of person making statement.
Name of person making statement.
/
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced / A, i
Produced'ZA
IRK D
AND
(Signature of NN W rids)
I�tJr?%@f Florida )
( ignature oT=.ires
=State of Florida
State of Florida
Commission NoM._-v Commtf HH002 �e I)
CommissionH002375(Seal)
E Expires 5/25/2024
5/25/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
(Table 1
KELLY
Demo
$5200.00
Concrete
$850.00
Rough lumber
$6000.00
Finish lumber
$2500.00
Plumbling $7100.00
Plumbling fixtures
Electric wiring
Rough carpentry
Finish carpentry
Insulation
Stucco
Drywall
Doors/ trim
Painting
Cabinets
Hardwood flooring
Ceramic tile
Hardware
Shower doors
Temperature facilities
Miscellaneous
Cleanup
Supervision
Trash
Building permit
Plans
Total
$11215.24
$11000.00
$0.00
$5200.00 .
$7800.00
$850.00
$2000.00
$3000.00
$11450.00 6500 4950
$29000.00
$28000.00
$30422.38
$8992.00
$2000.00
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1