HomeMy WebLinkAboutSUBMITTED PAPERSs
OFFICE USE ONLY:
DATE FILED: V o4-La
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
�SC`�U Virginia G & CODE GUuATIONS DIVISION
By Ft. Pierce, FL 34982-5652 n
St. Lucie County 772462-1553
`V\C;'�
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 13278 HARBOUR RIDGE BLVD PALM CITY FL 34990
2. PROJECT NAME: HARBOUR RIDGE SITE PLAN NAME: MILE LAKE VILLAGE
3. PROPERTY TAX ID #: 4426-801-0039-000-1
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
MILE LAKE VILLAGE BLDG 5 UNIT 7B (OR 579-1206:2812-2432) 13278 HARBOUR RIDGE BV 7B PALM CITY FL 34990
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9.
10.
PARCEL SIZE (ACRES/SQ FT.):
LOT DIMENSIONS:
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: remodel kitchen,master bath,den
new plumbing fixtures,cabinets,electrical,framing,drywall,new pocket doors,trim, painting
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[x] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ 35,000.00
LEFT SIDE:
[ x] INTERIOR RENOVATION
[ ] INDUSTRIAL
15. SF. FT 1 st FLOOR:
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION
NAME: DONALD C KOLAR (TR)
ADDRESS: 13278 HARBOUR RIDGE BLVD PALM CITY FL 34990
CITY: PALM CITY STATE: FL ZIP: 34990
PHONE (DAYTIME): 772 336-0454 Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: NA
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): �)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CBC 047770 ST. LUCIE COUNTY CERT #:
BUSINESS NAME: JEFFERY JAMES PAULY
QUALIFIERS NAME: JEFFERY J PAULY CONSTRUCTION INC.
ADDRESS: 2420 SW MAPLEWOOD DR.
CITY: PALM CITY
PHONE (DAYTIME): 772 263-8268
ARCHIT/ENGINEER: NA
ADDRESS:
CITY:
PHONE (DAYTIME): ( _
BONDING COMPANY
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
NA
NA
STATE: FL
FAX NO. 772-223-2159
STATE:
STATE:
STATE:
10811
ZIP: 34990
Email: IlPcbc@comcast. net
ZIP:
ZIP:
ZIP:
IMPORTANT NOTIC E: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
maybe required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
A N D A I R C 0 N D I T 10 N E R S, F E N C E S, E T C., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
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OW&fVUO0A06 RSIG NAT C R IG
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foregoing instrument was acknowledged before
me this day of
by
who is personally known _ or has produced
identification.
IF.,
The foregoing instrument was acknowledged before
me this day of
by
who is personally known
Signature of Notary Signature of Notary
20 ,
or has produced
as identification.
Commission No. (Seal) Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP#:
SECTION
TOWNSHIP
37
RANGE
MAP NO.
ZONING
LAND USE
`
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE91
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
ROAD
IMPACT
CREDIT
Y
N
LAW ENF
IMPACT
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3837059 OR BOOK !`�D PAGE 2421, Recorded 05/22/2013 at' 56 AM
Permit No.
State of Florida County of St. Lucie
NOTICE OF COMMENCEMENT
Tax Folio No. 4426-801.0039-000.1
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if available):
MILE LAKE VILLAGE BLDG 5 UNIT 75 (OR 579-120692812-2432) 13278 HARBOUR RIDGE BV 76 PALM CITY FL 34990
General description of Improvement: REMODEL & UPDATE KITCHEN. MASTER BATH. DEN
Owner information or Lessee Information If the Lessee contracted for the Improvement:
Name DONALD C KOLAR (TR)
Address 1327E HARBOUR RIDGE BLVD'PALM CITY FL 34990
Interest In property: OWNER
Name and address of fee simple titleholder (If different from Owner listed above):
Contractor's Name: JEFFERY J PAULY CONSTRUCTION INC.
Contractor Address: 2420 SW MAPLEWOOD DR PALM CITY FL 34990 Phone Number: 772-263-8268
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ NA
Name and address: Phone number:
Lender Name: _
Lender's address:
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: Phone Number:
Address:
In addition to himself or herself, Owner designates of to receive a copy of the
Llenor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ONTHE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowled yJan�d_be-liefry/�1�f{//�
(Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
0 Az-_Z-4,
(Signatory's Title/Office) ter'
The foregoing instrument was
acknowledged before me this 19 ddaryyofp '' A" , 20�
By t5kk J ft- -N"tU t`� �I�as N C! T ` —� for
ANarrp of Perso \ Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed
i Personally knownr produced Identification_.
nature of NotdIly Public- State of Florida)
(Print, Type, or St mp Commissioned Name MM - iIof
of lip
of ype Identification produced
MrlNO"YMIllrir
w C�wn. Eya �aM t11
Cawnbsbrl off sell"
low AUL
STATE Of FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS i$ A
TRUE AN ORRECT COPY OFTHE
ORIG4N ,10 .SMITKILERK
Date:
J f,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 18563
State of Florida Certification Number (If applicable): EC0002263
EASTERN ELECTRIC SERVICE INC.
have agreed to be the
(Company Name/Individual Name)
ELECTRCAL sub -contractor for JEFFERY J PAULY CONSTRUCTION INC.
(Type of Trade)
(Primary Contractor)
for the project located at 13278 HARBOUR RIDGE BLVD PALM CITY FL 34990
(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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
KEVIN L SMITH --5- / t_3
S G ATURE PRINT NAME DATE
Business Name: EASTERN ELECTRIC SERVICE INC.
Address: 2221 NW SUNSET BLVD
City/State/Zip: JENSEN BEACH FL, 34957
Phone: 772-692-8658 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 9332
State of Florida Certification Number (If applicable): CFC044166
CLASSIC PLUMBING ENTERPRISES INC.
(Company Name/Individual Name)
PLUMBING
(Type of Trade)
have agreed to be the
sub -contractor for JEFFERY J PAULY CONSRTUCTION INC.
(Primary Contractor)
for the project located at l22,�•-) 2 kNAC��r Ie.r Arc .e N,) CA, -
(Project Street Address or Property Ta #)
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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
4413j-"67 ROBERT SHELTRA /�/,4d . o � ����
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
CLASSIC PLUMBING ENTERPRISES INC.
P.O. BOX 1654
PALM CITY FL 34991-1654
772-221-1558 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
/ t
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
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 4426-801-0039-000-1 13278 HARBOUR RIDGE BLVD PALM CITY FL 34990
(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: