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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12-27-2021 Permit Number: U� L' 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: DEMO INTERIOR PROPOSED IMPROVEMENT LOCATION: Q Address: 2601 NW Juniper CT. Palm City FI 34990 Property Tax ID #: 4436-601-0035-000-0 Lot No. Site Plan Name: Harbour Ridge Block No. Project Name: Harbour Ridge E©IESCRPTlON OF WORK: Demo: cabinets ,flooring , drywall, drop ceilings, interior doors, plumbing fixtures New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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: Sq. Ft. of First Floor: _ Cost of Construction: $ 1,500.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSrPn c1ty CONTRACTOR: Name Nancy E Schwartz JR) Name: Jeffery J Pauly Address: 2601 NW Juniper Ct Company: Jeffery J Pauly Construction Inc. City: State: FL Zip Code: 34990 Fax: Phone No. 970-631-3044 E- Address: 2420 SW Maplewood Dr. City: Palm City State: FI Zip Code: 34990 Fax: Phone No 772-263-8268 Mail: neschwartz@aol.com 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 Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNE Name: _ Address: City: Zip: NGINEER: _ Not Applicable NA Phone State FEE SIMPLE TITLE HOLDER: Not Applicable Name: _ NA Address: City: _ Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: NA Address: City: State: Zip: Phone: BONDING COMPANY: Name: NA Address: City: Zip: Phone: Not Applicable 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 attorney before commencing work or recording our Notice of Commencement. Signa e n ctor - nw i as appli e STATE OF F COUNTY OF ¢ ) -t V-1 Sworn togor affirmed) and subscribed before me of Physical Presence or Online Notarization this` Iayof t 202( by ( �1 Name of person ma Iting statement. Personally Known uced Ide fication 0ducedz Type of ldentificatiop P; ��rtA_ e9z -s i,cpNIN-e (Signature of Notar Pu - State of Florida ____ Corlene Edlund-Chen Commission No. (Seal) Notary Public -State of Florida Comm# 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 10/12/21