HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/12/19 Permit Number:
-- — — Building Permit Application
Planning and Development Services JUL 15 1019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 V/ St, Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMITTYPE:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S Ocean Drive#404 Jensen Beach, FI .34957
Property Tax ID#: 4511-516-0041-000-4 Lot No.
Site Plan Name: Island Crest Condo Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Guest bath/change shower valve/shower drain/shower pan/replace kitchen sink, drain and faucet
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors
_Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $2,700.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameYumiko Okamoto Name:Cecil (Lee) Marion
Address:10680 S Ocean Drive Company:Pipe Connection
City: Jensen Beach State*L. Address:1058 SW 28th Street
Zip Code: 34957 Fax: City: Palm City State:FI
Phone No.(646)691-5046 Zip Code: 34990 Fax:
E-Mail:okamotoaidan@gmail.com Phone N0772-919-2757
Fill in fee simple Title Holder on next page(if different E-Mail pipeconnection@yahoo.com
from the Owner listed above) State or County LicenseCFC033824
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: )1�__Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,.bylaws or an 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 JOB SITE BEFORE THE FIRST IINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent"for'Owner Signature of Contractor/License Holder
STATE OF COUNTY OF Mo
no a COUNTY OFSTATE OF M0
n 0 - "o
The forgoing instrumeq was acknowledgecL before me The forgoing instrument was acknowledged before me
this day of fir-- 20 by this-M day of —AsA ( 20A by
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C,eGi�. ��12i DN
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
" DAVE MORELU
•:`lE,:
(Signature of Nota (S PyJtf� r�(�a) ature of Notary tla�y�
' =Commission#GG 060969 Bonded TWu Troy Fain Insurance A0038S7019
Commission No. _ iresmay 6( ffll) Commission No.
Bonded Tlau Troy Fain Insurance 800,38570%
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19