HomeMy WebLinkAboutbuilding permit copyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Addition
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PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 1316 Lancewood Ter. Palm City FL 34990
Property Tax ID #: 4426-804-0015-000-6 Lot No.
Site Plan Name: Lancewood Block No.
Project Name: Harbour Ridge
RETAILED DESCRIPTION OF WORK:
adding 545sgft addition, demo,concrete,work trusses, roofing, a/c, electrical, plumbing,drywal1,stucco, painting,
tile,windows, doors,trim,flooring
New Electrical Meter Second Electrical Meter
�ONSTRl1CTION INFORMATION: ---- - f_ —
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 545 _ Sq. Ft. of First Floor:
Cost of Construction: $ 95,450.00_ Utilities: _ Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John B Clough/ Cynthia C Clough
Name: Jeffery J Pauly Construction Inc
_-
Address:1316 Lancewood Ter.
Company: Jeffery J Pauly Construction Inc
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 443-465-1035
E-Mail: cynthiaclough@me.com
Address: 2420 SW Maplewood Drive
City: Palm City State: fl
Zip Code: 34990 Fax:
Phone No 772-263-8268
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jjpcbc.jp@gmail.com
State or County License 10811
If value of construction is 2500 or more, a RECORDED Notice of Lommencemeni is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
ENGINEER: — Not Applicable
Name: Braden &Braden AIA, PA
Address:471 S.E. coconut Ave.
City: Stuart State: FL
Zip: 34996 Phone 772-287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: n/a
Address:_
City:
Zip:
Phone:
MORTGAGE COMPANY;
Name: n/a
Address:
Citv:
Zip: Phone:
— Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: n/a
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicatea.
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
.. i.L. 1...,A.,r .•.r — �++nrn n%Mnfnrn rnmmanrina vvnrk nr rPrnrciine vour Notice of CorvMtencement.
VVIUI ICHUV A v1 an UL-1 —.... .. ............. ...... .. _...
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STATE OF FLORI
STATE OF FLORID yc�
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Swo n to (or affirmed) and subscribed
before me of
Sworn to (or affirmed) and
subscribed before me of
Physical Presence or
Online Notarization
Physical Prese ce or
Online Notarization
this i nay of
by
this _�rtday of
W _ `2>12U by
Name of person makin4 statement.
Name of person making s atement.
Personally Known ' OR Produced Identification �C
Personally Known
OR Produced Identification
Type of Iden 'fication
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Type of Iden ' ation
Produced'✓—P�
Produced
(Signature of Notarftublic
tate of Flor' Conene un
nature of Notary Pu
- State a) Corlene Edlund-Cher
Notary Public
��' ¢� Notary Public
Commission No.
�/ -State of Florid
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747mmission No.
te of Florida
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i Comm# HH006747
Expires 7/13/2
24
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20