HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:5A\S� \5 Permit Number:
_.5..
RECEIVED JUN 15 7Ab
Building Permit Application
Planning and Development Services
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: Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 1828 NW Buttonbush Cir
Legal Description: Harbour Ridge - Plate 7- Bayberry Village Unit ( OR 554-838 : 1245-401 )
Property Tax ID#: 4426-802-0012-000-9 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Bayberry Village
Setbacks Front 60 Back: 65 Right Side: 25 Left Side: 76
DETAILED DESCRIPTION OF WORK:
80" x 42" concrete pad for Generac Generator
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check a appy:
HVAC Gas Tank Gas Piping _Shutters F�Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
500.00
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Joseph Kathie R Kryla Name: Jeffery J Pauly
Address: Company:
1828 NW Buttonbush Ir. Jeffery J Pauly Construction Inc.
2420 6VV
d DR
City: Pam City State:_ Address: pa ewo0
Zip Code: 34990 —// Fax: City: Palm City State:
Phone No. 0 L-4-c+e Zip Code: 34990 Fax: none
E-Mail: Phone No. 772-263-8268
Fill in fee simple Title Holder on next page(if different E-Mail: JJpcI5c.Jpgmall.cOrn
from the Owner listed above) State or County License: #10811 C;BC047770
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN-LAW INFORMATION-
DESIGN ER/ENGINEER:
NFORMATION: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 BONDING COMPANY: _Not Applicable
Name: NA Name: NA
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
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.jf4ou intend to obtain financing, consult with lender or an attorn efore
commencing work or recoifc1i6A your Notice of Commencement.
n e 66wnqtssseQAgent Sign of n or/Lic e Hol r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Js �. COUNTY OF S A-
The forgoing instrument was acknowledgbefore me The forgoing instrument was acknowledged before me
this day ofd J�� 20\by this cJ day ofy h� 20 by
(Name of person acknowledging) (Name of persona knowledging)
(Signature of Notary Pu c-State of Florid (Signature of Notary Pu lic-State of Florida) 5 aae
.`aa �v�N E�Oi�
Personally Known OR Prod e i iCi�t10 Personally Known OR Pro R�l°cLrn6���
Type of Identification Produced �1�0° s� Type of Identification Produc L. "°� este 6e s°
Commission No. -�S �Qo ��Q/& aa�d Commission Not-
4k
^
fit
Revised 07/15 0°
Qm
• O{C
REVIEWS FRYER
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COREVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM PLETE
INITIALS