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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L.� q
Date: Permit Number: � i-)6 " ®�
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Building Permit Application AUG a t, 2017
Planning and Development Services PERMIT-TING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building
Address: 12780 NW MARINER CT PALM CITY FL 34990
Legal Description: MARINER VILLAGE HARBOUR RIDGE- PLAT 4- UNIT 19 (OR 2008-787 : 2761-2291)
Property Tax ID#: 4425-603-0031-000-4 Lot No.
Site Plan Name: HARBOUR RIDGE Block No.
Project Name: MARINER VILLAGE
Setbacks Front Back: Right Side: Left Side:
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add 183.50 sq.ft new addition, add 126 sq.ft addition under existing roof. Whole house remodel,
electrical,plumbing,ac,concrete work,impact windows and doors,new hardie plank siding,impact
garage doors, cabinets, tile work,insulation, drywall,roofing, trim, painting, landscaping. See plan by
Braden and Braden
ALp Py�� ��'`��+7� �- "'^�`; J✓' (Ai a ;'� F.2� l ty y'w'w '.
Additional work to be nertormed unclertriis permit-c eck a apply:
ZHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ✓❑—Plumbing Sprinklers 1:1 Generator Z Roof 5.75 Roof pitch
Total Sq. Ft of Construction:`` 309.5 S Ft.of First Floor:
Cost of Construction:$ "`I`�cS)CLOD. 00 Utilities: Ir ISewer OSeptic Building Height:
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Name ROBERT H&SUSAN I RIED Name: JEFFERY J PAULY
Address:12780 NW MARINER CT Company: JEFFERY J PAULY CONSTRUCTION INC.
City: PALM CITY State:FL Address: 2420 SW MAPLEWOOD DR
Zip Code: 34990 Fax: City: PALM CITY State:FL
Phone No.772-285-2530 Zip Code: 34990 Fax: NA
E-Mail:susanried@hotmail.com Phone No. 772-263-8268
Fill in fee simple Title Holder on next page(if different E-Mail: jjpcbc.jp@gmail.com
from the Owner listed above) State or County License: CBC 047770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADEN&BRADEN AIA,PA Name:
Address:417 SE COCONUT AVENUE Address:
City: STUART State: FL City: State:
Zip: 34996 Phone: 772-287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you in d to obtain financing,consult with lender or an rn efore
commencing work or record o r N tice of Commencement.
Si ur o r/Lessee/n�oas Agent f Own r Si r of t ctor/Licen Hold r
STATE OF FLORIDA j STATE OF FLORIDA
COUNTY OF " wu COUNTY OF
The forgoing inst ment.was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20 _by this_� day of 20 by
XJ'
(Name of per n nowle 'ng) (Name f 4160rya knowledging)
iivQ I-�-M S;�L
_!S)k&6ire of Notary Public to of Florida) ig ature of Notary Public-State of Nrida)
Personally Known OR Produced Identification Personally Known) OR Produced Identification
Type of Identification Produced Type of Identifi atiomPdu
LASHAHNA INGRAM
IASHAHNAINGRAM , ?i°n �`�. Notary Public of Florida
Commission No. :tP o�,., �Sa C mission No... o�`_ js�� l')
_ o arPublic-State of Flor da '. :y p IV,
y11 Comm.Expires Dec 20,2018
CI '' •;M Comm.Expires Dec 20,2 18
• Commission#FF 177249
o;,� ommiss - r- --Z . uonaea through National Notary Assn.
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Revised 07/15/2014i:�O Bonded through National Notary Assn
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