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Home My WebLink AboutSUBMITTED PAPERSi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - SCANNED St. Lucie Count RECEIVE® Building Permit Application Planning and Development Services JUN - 9 2015 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Alteration 1 PROPOSED IMPROVEMENT LOCATION: 11 Address: Legal Description: BAYHEAD VILLAGE BLDG 3 UNITE 8B (OR 3501-1602) Property Tax lDtt:4425-601-0024-000-6 L N Site Plan Name: BAYHEAD VILLAGE Project Name: HARBOUR RIDGE Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: 0t o. Block No. Remodel guest bathroom, new shower pan,plumbing fixtures,cabinet,tile,lighting.Remodel master bathroom replace tub,plumbing fixtures,cabinets,tile,lighting, remove soffit and closet,relocate sw&light. Remove drop ceiling in dining room relocate light. Kitchen add upper cabinets add recess cans, under cabint lights, Den remove closet and soffit add book shelfs, recess cans & sw. CONSTRUCTION INFORMATION: III 11'Ga's*Tank ❑Gas Piping _Shutters Windows/Doors Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 0 Cost of Construction: $ 49,250.00 S Ft. of First Floor: Utilities:c2Sewer Septic Building Height: 'OWNER/LESSEE: CONTRACTOR: Name Name: a efy Pauly Address: Company: ----Jeffery Pauly onS ructionInc. City: PA State: _ Zip Code: 34990 Fax: Phone No Address: pa ew00 City: Palm I y state:_ Zip Code: Fax: none phone No E-Mail: dbrlg am piper I pa ners.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: jjpC c.Jp gmal .com State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: State: Zip: Phone: 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: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable 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 intend to obtain financing, consult with lender or an attorney before commencine work or rec 2d�i vour Notice of Commencement. (� —v — `i — - v STATE OF FLORIDA STATE OF FLORID,A�g COUNTY OF" COUNTY OF e�l� • �J The for inginstru ent was acknowledged this day of L % 20r (Name of person acknowledging (Signature OM6tary Public- State of Flori aV Personally Known / OR Produced Identi Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 e, The fo Ding instrume was acknowledged before me this 1-dayof " 20��by �F �/I Olt./ i 1 (/V� "din (Name of person (Signature of Nct ry Public- State of Floi Personally Known / OR Produced Type of Identification Produced Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY JEFFERY J PAULY CONSTRUCTION INC. (Company/Individual Name) project located at will be using the following sub -contractors for the bo} VOrU-f — OOGJ (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical EASTERN ELECTRIC SERVICE INC. 18563 EC0002263 Plumbing CLASSIC PLUMBING ENTERPRISES INC. 9332 CFC044166 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07292014 A PERMIT# ISSUE DATE ' PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division s BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 9332 St. Lucie County Contractor Certification Number: CFC044166 State of Florida Certification Number (If applicable): CLASSIC PLUMBING ENTERPRISES INC. P LU M%om I Ngny Name/Individual Name) Sub -contractor for (Type of Trade) have agreed to be the JEFFERY J PAULY CONSTRUCTION IN( (Primary Contractor) For the project located at L L f 0-9 — (00 i — Qq-L�-f `-- (BOO -- (e=> (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: C� l B� � ty1T� P Address: City/State/Zip: Phone: 772-221-1558 email: SIGNATURE PRINT NAME ATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS C�4 DAY OF PK)1'\ v \ 20 BY ///�B�Q % �f{FZ7 WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) SIGNAT R OF NO RY PUB RINT NAME OF NOTARY PUBLIC SLCPDS: 6/201 aY JENNIFER J. YINGLING C dog' =• Notary Public - State of Florida U My Comm. Expires Mar 26, 2017 Commission # FF 002136P,;,`,1.•` Banded Through National Nolary Assn. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES 5' ,_,$_'__.g Building &Code Compliance Division 0 e . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 18563 St. Lucie County Contractor Certification Number: EC0002263 State of Florida Certification Number (If applicable): EASTERN ELECTRIC SERVICE INC. CR pan Name/Individual Name) ELECT Sub-contractor for (Type of Trade) For the project located at have agreed to be the JEFFERY J PAULY CONSTRUCTION IN( Idress or Property Tax ID (Primary Contractor) — � .� It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNAWRES ARE REQUIRED Business Name: act vej ,CN se� 1 Cie Address: 22� UNSE City/State/Zip: Phone: 772-201-8689 email: 0499v� � - 4 SS G— PRINT�EME�� DATE STATE OF FLORIDA, COUNTY OF IkLVV in I THE FOREGOING INSTRUMENT {, WAS SIGNED BEFORE ME THIS ( *AY OF � I��L 1205 � BY � 01n S^^ L � 1 PRODUCED �lS �C`6 U�PI/s SIGNATURE"F-PdOTARY PUBLIC SLCPDS: 08/06/2014 WHO IS PERSONALLY KNOWN 3 oh L. (I(' ns PRINT NAME NOTARY PUBLIC OR HAS (STAMP) CINDY L CO UNS NOTARY PU IC STATE OF F. PE Comm# EE216345 Expires 7K511016 JOSEPH E. SMITH, CLERK OF. ti: CIRCUIT COURT — SAINT LUCIE.r•^UNTY FILE # 4079187 OR BOOK 3, - PAGE 578, Recorded 06/09/2C' at 10:27 AM Y4 The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida statutes the following information is provided in the Notice of commencement. 1. DESpC�RIItPSTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 4t4U2�5-601-0024-000 SB�,YHEA�VICO�GEB��i 3�QiT8�`��t 3509� 1�bOZ�2548 IQV�SEA(i�iA55-DRABS 2. GENERAL DESCRIPTION OF IMPROVEB"bremoael interior, cnange out Sllaer to awinaow 3. OWNER 1NFOP(1f_gI'J,OiI• a. N UUAAVV b. Address eagrass am I Owner c. interest in property d. Name and address of fee simple titleholder (if other than owner) NA 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: eery i Pauly OnS ruC Ion Inc. 2420 SW MAPLEWOOD DR PALM CITY FL 34990 772-263-8268 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER ANpABOND 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: IIVV 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7.. Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself. Owner designates the following to receive a copy of the Lienoi s Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) .—, 20_. Q or /l t/ -d F+ ES V'r Print Name and Provide Signatory's Owner's Authorized Officer/Director/Partner/Manager c.a f- OV yQ State of Florida �'- ��LL Hw 0: County of;Jf•�.II�AP. 2,.1 1 cq y t°C— The footgoing in5im,m1e-n[ waz acknowledged before me this SPA day of V UA1.0— , 20 I By �1Poei'iyA,C� F�FA.D P.tYtq{'6T1 . az (T(TName of persoqq`) . [� (Type of authority. e.g. Owner, officer, trustee, attorney in fact) FO[dJ0�A.71A zY ,1�OXl &i"ghaa ,,yy// (Name of party on behalf of whom instrument was executed) Personally Knownp1 or produced the following type of ID: /1 __ HIRHAflAIN870N Q�ubI �_ Nam,,w8 wFof(iodde (Printed Name of Notary Publ i n of Notary Public) IYIr00�aE1�ira Fab.Ib 7D18 CptIDmll*B No. EE 1714M Under penalties of perjury. I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Directe rtner/Manager who s* ed above - By:. By— y fta.09ap'ge)IR xndinfl