HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
,To I UCCr`��
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: DOORS & SIDELIGHTS REPLACMENT
PROPOSED IMPROVEMENT LOCATION: HARBOUR RIDGE
Address: 1502 NW SAWGRASS WAY PALM CITY FL 34990
Property Tax ID #: 4426-818-0064-000-8
Site Plan Name: HARBOUR RIDGE
Project Name: BUTTONBUSH VILLAGE
Lot No.
Block No.
REPLACE ONE 6' X 6'8' GLASS SLIDING DOOR TO ONE DOOR AND TWO SIDELIGHTS
REPLACE ONE 8' X 8' GLASS SLIDING DOOR TO ONE DOOR AND TWO SIDELIGHTS
REPLACING WITH ANDERSEN IMPACT UNITES
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 18,500.00
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height: _
OvVNERAESsEE.--- -----------------.
Name ARTHUR WILLIAMS III
Address:1502 NW SAWGRASS WAY _
City: PALM CITY State
Zip Code: 34990 Fax:
Phone No. 908-400-2783
E-Mail: artwill3@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR;
Name: JEFFERY J PAULY
Company: JEFFERY J PAULY CONSTRUCTION
Address:2420 SW MAPLEWOOD DR
City: PALM CITY State:
Zip Code: 34990 Fax:
Phone No 772-263-8268
E-Mail jjpcbc.jp@gmail.com
State or County License 10811
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
2'
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:
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 lender or an attorney before commencing work or recording our Notice of Commencelnent.
Sign o er s o c or as Agent for w
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STATE OF FL DA
STATE OF FLQRP
COUNTY OF �Z�-c1n
COUNTY OF I'M
Swor to (or affirmed) and subscribed before me of
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Sword}� to (or affirmed) and subscribed before me of
g/Ph aical Presence or Online Notarization
this -day of y
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Name of person rJaking statemen .
Name of person maki fg statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ide t' ication '
Produced I-e e_P
Type of Identification `
Produced ' cee"ge
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(Signature of Notary Publi - a of Florida)
(Signature of Notary P ate of Florida )
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Commission No. tip ���
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