HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application RECEIVE
Planning and Development Services SIj%D 1 1018
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Building and Code Regulation Division ey
23,00 Virginia Avenue, Fort Pierce FL 34982 >� p
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial eSl a 9�1 St• Lucie
PEWIT APPLICATION FOR: Addition
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Address: 1651 NW Sweet Bay Cir. Palm City FI 34990
Legal Description: Harbour Ridge- Plat 8- Sweet Bay Village Unit 39 ( OR 4044-2490)
Property Tax ID #: 4426-803-0062-000-7 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Sweet Bay Village
Setbacks Front Bac " )Right Side-
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Add 456 sgft addition, new impact windows and doors and garage door, electrical, plumbing, ac,
drywall, stucco, roofing, trim, painting, tile as per architect plans
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Additional work to e under this permit— check a apply:
L_ ,ZHVAC _l Gas Tank ❑Gas Piping _ Shutters ✓� Windows/Doors
ZElectric ❑✓_ Plumbing Sprinklers 1:1 Generator 21 5/12
Roof Roof pitch
Total Sq. Ft of Construction: 456 sqft S . FtFt. of First Floor:
Cost of Construction: $ 450,000.00 Utilities: I —Sewer Septic Building Height:
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Name Linda L Miller
Name: Jeffery James Pauly
Address:1651 NW Sweet Bay Cir
Company: Jeffery J Pauly Construction Inc.
City: Palm City State: FL
Address:
City: Palm City State: FI
Zip Code: 34990 Fax: NA
Phone No. 954-304-0994
Zip Code: 34990 Fax: NA
E!Mail:linmill7l@gmaii.com
Phone No. 772-263-8268
E-Mail: jjpcbc.jp@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License: CBC 047770
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Not Applicable
MORN�"'AIGE COMPANY:
_ Not Applicable
Name: Kelly & Kelly Architects
Name: A
Addr s: StreetAddress:
City:
State:
City.
Zip: Phone
_tte:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
_
Name: NA
Name: NA
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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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.
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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 yo Ilntend to obtain financing, consult with lender or an attorney before
commencine work or recordine %ko'Ir Notice of Commencement. r-. r1_1
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Sig r w r/ Les /Co ractor as Agen caner
Sign a ctor/Li ns o r
STATE OF FLORIDA
STATE OF FLORIDA
1
COUNTY OF �, . .
COUNTY OF N
The forgoing instrume as acknowledge before me
day 20 by
The for ing instrument, was acknowledged before me
this day of 201 by
this of
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N f person making atement
Na a erson making atement
Personal) Known OR Produced Identification
Personally Wnown OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(5 turA of Notary Public- Statd of Florida)
(Signs re of Notary Public- State o Florida )
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tev. 8/2/17