HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`777
4 E 0� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: INTERIOR REMODEL
PROPOSED IMPROVEMENT LOCATION:
Address: 12386 HARBOUR RIDGE BLVD #5-1
Property Tax ID#: 4426-807-0033-000-7 _ Lot No.
Site Plan Name: HARBOUR RIDGE _ _ Block No.
Project Name: SOUTH SHORE VILLAGE UNIT 5-1
DETAILED DESCRIPTION OF WORK:
KITHEN REDO, GUEST BATH REDO, PLUMBING,ELECTRICAL,A/C, DRYWALL ,PAINTING,
FLOOR ING,CABINETS,REWORK SOFFITS,REMOVE INTERIOR WALLS, NEW INTERIOR
DOORS AND TRIM,MASTER BATH REDO
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
Electric X Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: X_Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DAN R DEFAZIO/MELANIE S RIED Name:JEFFERY J PAULY _
Address: 12386 HARBOUR RIDGE BLVD #5-1 Company:JEFFERY J PAULY CONSTRUCTION INC
City: PALM CITY State:_ Address:2420 SW MAPLEWOOD DRIVE
Zip Code: 34990 Fax: City: PALM CITY State:
Phone No.203-858-0894 Zip Code: 34990 Fax:
E-Mail.drdefazio@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 CBC047770
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.
SIJP [EMENTAL� CONSTRUCTION,LIEN LAW MFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:N/A Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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.
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 wifl 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 lender or an attorn before commencing work or recording our Notice of CqnTrRencement.
SigtWnerXNsQWContractor a ent or wner Signa o n for tens o er
STATE OF FLORIDp, STATE OF FLORIDA
COUNTY OF (`�1�+✓ i n COUNTY OF M Ct�-1-� f1
Sworn to(or affirmed)and subscribed before me of Sworn (or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this—;' day of "c ,Ich 2020 by this L day of JLAAec.h 2020 by
Name of person making stat a t. Name of person making ment.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identif* tion Type of Identifi tion
Produced I✓L. Produced �.....
(Signature of Nota* rSta or 167 (Signature of Nota# *St sfto6do�55167
Commission No. �,� °e ExW"0 r 2024 �9 Q�o� Expires . ubar �,2024
9,rt�6ondeaTlvuBudp� Commission No. '�osF\� eorcearn„: .;.:r�Seah)tOr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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