HomeMy WebLinkAboutpermit griffinAll 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 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding__._._
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION
Address:
1651 NW Sweetbay Cir Palm City FI 34990
Property Tax ID #: 4426-803-0062-000.7
Site Plan Name: Harbour Ridge
Lot
Block No.
Project Name:.__ _ _ _ Sweetbay village
DETAILED DESCRIPTION OF WORK
Install new 6x7 golf cart garage door
Open back up existing golf cart door door that was closed in ( permit # 1811-0285 ) Feb 25 2019
New Electrical Meter Second Electrical Meter
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: $ _
(Affidavit required)
_ Windows/Doors Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
2,300.00 Utilities: —Sewer _Septic Building Height:
-. LESSEE: CONTRACTOR:
-----------
Name- John A & Susan Griffin Name: Jeffery J Pauly
Address: 1651 NW Sweetbay Cir Company: Jeffery J Pauly Construction Inc.
City: Palm City State: FI Address: _ 2420 SW Maplewood Dr
Zip Code: 34990 Fax: City: Palm City State: FI
Phone No. 954-804-7243 E- Zip Code: 34990 Fax:
Mail: Phone No 772-263-8268
Fill in fee simple Title Holder on next page (if different E-Mail }jpch�com
from the Owner listed above) 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
MORTGAGE COMPANY:
Not Applicable
Name: NA
Name:
Address:
NA
_
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attornev before commencing work or recording vour Notice of Commencement.
Signat a ssee/ ntractor as Agent fo er
r
C
STA E FLORIDA
COUNTY OF
Sworn tajor affirmed) a . d subscribed before me of
Physical Presence or Online Notarization
this 4 '` day of _�, 20 Q by
Name of perkon making statem t.
Personally Known Pk2Auced Iden 'fication lC
Type of Identificati r rod "..PAC.. L1kU
'SC
(Signature of Notary P - State of Florida)
Corlene Edlund-Chen
Commission No.AlLi (Seal)
Notary Public
State of Florida
JINCI
Commit HH006747
Expires 7/13/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21