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)