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HomeMy WebLinkAboutSUBMITTED PAPERS1 n ALL APPLICABLE INFO MUST BE COMPLETEb FOR APPLICATION TO BE ACCEPTED ( / Date: Lo �' SCANNED `Permit liumber: I �0c/ 0_ BY = St. Lucie County RECEIVEL Building Permit Application Planning and Development Services JUN — p 2015 Building and Code Regulation Division a 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Alteration PROPOSED IMPROVEMENT LOCATION: Address: 2568 NW SEAGRASS DR 2A Legal Description: BAYHEAD VILLAGE BLDG 5 UNIT 2A (OR 3704-1862) Property Tax ID#: 4425-601-0034-000-9 Lot No. Site Plan Name: BAYHEAD VILLAGE Block No. Project Name: HARBOUR RIDGE Setbacks Front Back: DETAILED DESCRIPTION. OF WORK: - Right Side: Left Side: KltCrien remove cabinets, install new cabinet,tops,plumbing,add recess cans,Dining remove we next to kitchen relocate electrical, remove drop ceiling and drywall, relocate Iight.Master bath & Guest bath, demo, new plumbing fixtures, shower pans,cabinets and top. Den remove closet, relocat electrical, add pocket door. Paint,trim,new flooring CONSTRUCTION INFORMATION: 111 Gas Tank UElectric 0 Plumbing Total Sq. Ft of Construction: 0 Cost of Construction: $ 45,000.00 Piping UShutters Windows/Doors nklers 1:1 Generator ❑ Roof S Ft. of First Floor: _ Utilities:ZSewer Septic Building Height: O.W N ERAESS E E: CONTRACTOR: Name Name: Jeffery aU y Address: Company: eery i Pauly Construction Inc. City: C ATHAM State: lqJ Address: pa ewoo d DR _ Zip Code: 07928-1244 Fax: City: Palm City State:_ Phone No _ Zip Code: Fax: none Phone No E-Mail: garyW napcone .com Fill in fee simple Title Holder on next page ( if different E-Mail: JJpc c.Jp gmal .com State or County License: from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: na Name: na Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: na Address: City: Zip: Phone: BONDING COMPANY: _Not Applicable Name: na Address: City:_ Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. STATE OF FLORISTATE OF FLORIDA �...d COUNTY OF 9 -R COUNTY OF / The f oIn ins u t was acknowledge bef S The fo oing instr t was acknowledged before me R g g � 9 p. this day of 20��b s¢� this�dayof > 20%bye 9 m 1 P `W$ �. R¢ (Name of person knowledging) h°4, (Na a person ackr&Fedging) Taw € .�(1F (Signature of(fotary Public- State of Florida ) t/ Personally Known "_�OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 E'c (Seal) (Signature of Notfy Public- State of Florida) '2,Trh Personally Known 'a -'OR Produced Identification 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 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4079188 OR BOOK 37 PAGE 579, Recorded 06/09/20:I .Lt 10:27 AM _/ 0 PERMIT "WiR, i NOTICE OF COMMENCEMENT 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. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 4425-601-0034-0009 day�ieao VNI I rage G5� rn a or 466 i975�g tirt Nw eagrass M a rn 2. GENERAL DESCRIPTION OF IMPROVEMENT; rernmel unit, Kitchen,- o a s, new m error oors 3. OWNER �ddresi 11:TMERT DR� N I HHY , 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: Jenery J Nauly GOns ruc Ion nc 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER Air BOND AMOUNT: 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: (DIn addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: Ef xpiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 2D_, POSTED ON THE LOB SITE BEFORE THE FIRST INSPECr1ON IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR S2 ER R �R]3COMMEN MG W RK R RECORDING G YOUR N f FC MEN NTW.I. ., , EQ Gar, �, Signa Owner or Print Nan ad Provide Signatory's Titte(OHIce t Owner s Authorized Ofricer/Director/Partner/Manager u. ¢�Fr n State Of i?Iarlde p C'U i County of P� 6,vt The fo/rpgoing instrument was cknowledged before me this W w F c By 1:�1a1 -T - �N l � / L✓ ��day of _ r' Q2">'`�- . 20_ (.S <u n - (Name ofPerson) (Type of authority... e.g. Owner, officer, trustee, attorney in fa (Name of party on behalf of whom instrument was executed) Personally Known_,Ay CINDI W KHAN I 1 k I 4 IAr._, Notary Public i4 State of New Jersey (Printed Name of Notary c) (Signature of Notary Public) Public) My Commission Expires Apr 4, 2017 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). - Signal re(s) of Owner(s) or Owner(s)' Authorized Oftlrer/DiredadPartner/Monger who signed above: By: � BY— Rea. 011W rdinrl. PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 9332 St. Lucie County Contractor Certification Number: CFC044166 State of Florida Certification Number (If applicable): CLASSIC PLUMBING ENTERPRISES INC. PLUM%Comgny Name/Individual Name) Sub -contractor for (Type of Tra&) have agreed to be the JEFFERYJ PAULY CONSTRUCTION IN( (Primary Contractor) For the project located at ''/ `i ce — (00( VC_)Lj `f —' (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: Address: F.U. L3U`A I tib4 City/State/Zip: Phone: email: SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I DAY OF � 1 20 E , _ BY,!O5 / %>< _T WHO IS PERSONALLY KNOWN �OR HAS PRODUCED S NO R PUB IC SLCPDS:O /201 AS IDENTIFICATION. (STAMP) PRINT NAME OF NO Eo=b NNIFER J. YINGLI]id y Public - Stafe ofm. Expires Mar 2mission # FF 002Through National Nota PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY JEFFERY J PAULY CONSTRUCTION INC. will be using the following sub -contractors for the (Company/Individual Name) project located at — I --C X ) 5�— �C (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 07/29/2014 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 18563 St. Lucie County Contractor Certification Number: EC0002263 State of Florida Certification Number (If applicable): EASTERN ELECTRIC SERVICE INC. Compan Name/Individual Name) ELECT Sub-contractor for have agreed to be the JEFFERY J PAULY CONSTRUCTION IN( (Type of Trade) (Primary Contractor) For the project located at L-f`t,� ^ [9CUI DUc'�pkf (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: Address: 2221 Sri I rD :.:• S G ATURE PFRI I NAME DATF STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRRUcUMENTT WAS SIGNED BEFORE ME THIS Z M'LY OF Vt L. , 20 BY J I Jc Tom"'\ ^ a WHO IS PERSONALLY KNOWN OR HAS PRODUCED UCy' AS IDENTIFICATION. t SIGNATU NOTARY PUBLIC PRINT NAME ly NOTARY PUBLIC CINDY L. COLLINS ItNOTARY PUBLIC STATE OF FLORIDA Comm# EE216M5 E>ores Vi512016 SLCPDS: 08/06/2014 (STAMP)