HomeMy WebLinkAboutPermit Application_CompleteALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Renovation III
Address: 9650 S OCEAN DRIVE, 4707, JENSEN BEACH, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 707
Property Tax I D #: 4502-610-0067-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Kitchen & Wet Bar.Install recess LED lights, new sink shout -off valves. Plumb sink & faucet. MSTR Ba Tub drain to
shower drain, new shower valve,pan, recess LED lights,exhaust fan, sink shut-off valves, Plumb new sinks & faucets,
toilet new shower enclosure. Guest Bath: Same as Malt. EXCEPT Tub to shower, Just new shower valve & NO recess
lights, Just vanity light. Check GFI outlets in all (update if necessary) All Same Locations & Safety Glass. See Plans
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❑HVAC oe en
❑✓_Electric ❑✓_Plumbing
uinrcu waver Jus permit Cnecx an
Gas Tank Das Piping
[]Sprinklers
apply:
_Shutters
❑GeneratorL
l❑lWindows/Doors
JRoof
Total Sq. Ft of Construction: 1,000 sqft
Cost of Construction: $ 40,000.00
SFFtt.I of First Floor:
Utilities: L]Sewer El Septic
Building Height:
Name Ubaldo A and Isabel Sera
Address: 16580 SW 42nd Ter.
City: Miami State: FL
Zip Code: 33185 Fax:
Phone No. 1-908-568-1945
E -Mail: i_serra@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Nathan Cooke
Company: Cooke Construction, Inc
Address: 1276 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E -Mail: nate@cookeconstructioninacom
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
VEGETATION
Address.---
ddress:City:
MANGROVE
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Maya C, ply.
In consideration of the granting of this requested permit, I do hereby agree that I will, Inall 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
Lessee/Agent
STATE OF FLORID / STATE OF FLOR�J�, f_
COUNTYOF o, �J`t✓1 COUNTY OF C!� ✓Y�'1
The forggq��,, rostrum nt was cknowledged before me
this `d'ay of ✓'t � 2MZ— y
Nl�kavy Cva6e—
(Name ofperson�acknowledging)
(Signatureof AotaryYPubllc-St eofFFlorida)
OR Produced Identification
Commission No. r'1" 11 WALTER G PAYNE
°'', (S�EIIJ'y Public State 01
. �;� = Co rnmisserb # GG 2
Revised 07/15/2014
The for ng instrument was cknowledged before me
this ay of Z54b !' / . 20 by
(Name
Commission a GG 24467
MY (S"r)ExPIres Abp 25. 21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS