HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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LP ° `� 06)' t=" 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
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PROP05E0IMPROVEMENT LOCATION:
Address: 2530 NW Seagrass Drive #713
Property Tax ID#: 4425-601-0015-000-0 Lot No.
Site Plan Name: Bayhead Village Block No.
Project Name: Harbour Ridge
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Full interior remodel, guest &master bath, Kitchen, plumbing,electrical,a/c, drywall,painting, flooring,cabinets
rework soffits,remove interior walls,add drain for new shower,and relocate sink in masterbath,
new interior doors and trim
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
XElectric X Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �C> 00 C(,r Utilities: V Sewer _Septic Building Height:
OWNERAESSEI7— _ ---CONTRACTOR ta �
Name Robert R McDonnell/Ellen L McDonnell Name:Jeffery J Pauly Construction Inc
Address:2530 NW Seagrass Dr. #713 Company:Jeffery J Pauly Construction Inc
City: Palm City State:_ Address:2420 SW Maplewood Drive
Zip Code: 34990 Fax: City: Palm City state: FL
Phone No.603-661-9242 Zip Code: 34990 Fax:
E-Mail:ukulelellie@gmail.com Phone No 772-263-8268
Fill in fee simple Title Holder on next page(if different E-Mailjjpcbc.jp@g mail.COm
from the Owner listed above) State or County License I d S$
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.
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DESIGNER/ENGINEER: Not Applicable �
MORTGAGE COMPANY: ! Not Applicable
Name:n/a Name:nra
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,Not Applicable BONDING COMPANY: _Not Applicable
Name:n/a Name:n/a
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 Comrpeocement.
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Sig ,aore H er Qnt for Owner
sign
STATE OF FLOR A STATE OF FLOWA'
COUNTY OF nAk3✓l COUNTY OF
Sw rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
P +cal Pres ce or Online Notarization -KP ysical Prese ce or Online Notarization
this 'T�day of -20n by this --day of �y
Name of person aking statement. Name of person ma ing statement.
Personally Known OR Produced Identification K Personally Known OR Produced Identification I-Irl-
Type of Ide fication �C' Type of Id 'e fication 1
Produced _ Produced
(Signature of Not u State ff__��I rid�ene Edlund-Chen (Signature of No ry JS4da )
Qt Gene Edlund-Chen
`' °o Notary Public ,,11 Public
Commission No. 946 of Florida Commission No.,ttComm#HH006747oState of Florida
•J �0 a Comm#HH006747
E,g1 Exp res 7/13/2 24
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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