HomeMy WebLinkAboutPermit Application CompleteALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit
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
PERMIT APPLICATION FOR: Renovation III
Address: 9600 S. Ocean Drive, #1101, Jensen Beach, FL. 34957
Legal Description: EMPRESS CONDOMINIUM UNIT 1101 (OR 3731-406)
Property Tax I D #: 4502-620-0082-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
Master Bath: Remove tub (Cap Off Plumbing) Install new shower valve, pan & wall panels. Install
new recess LED, exhaust fan w/ light, new sink shut-off valves, toilet & shower enclosure. Plumb
new sinks & faucets. All remain in same locations. Please see attached Scope of Work.
J Gas Tank
Z Plumbing
Total Sq. Ft of Construction: 200:
Cost of Construction: $ 12,000.00
Name Jeffrey and Dorothy Vemimb
Address: 9600 S. Ocean Drive, #1101
Piping El _Shutters ❑Windows/Doors
nklers ❑ Generator ❑ Roof
S Ft. of First Floor: _
Utilities: Sewer ❑ Septic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 1-908-568-1945
E -Mail: Vernimb.dh@verizon.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
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@mokeconstructioninc.com
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement
R/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Name:
OEM
_ Not Applicable
PLANS
REVIEW
VEGETATION
REVIEW
Address:
MANGROVE
REVIEW
Phone:
7Name:
State: _
City:
Zip: Phone:
State:
LE TITLE HOLDER:
_ 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 canPlict 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,
Inconsideration 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
rnrnmpr inc work cur recordine vou"otice of Commencement.
Owner/ Lessee/Agent
STATE OF FLORID / `�
COUNTYOF
The fgqrggtng instrument was acknowledged before me
this {/ dayof %i q 20ZUay
Commission No.
Revised 07/15/2014
STATE OF FLORI
COUNTY OF doe�Eoq
The fig stru s acknowledged before me
this{r day oft wa202 by
(Name of persop.acknowledeWCJ--
SignaturE of Notarrublic- State of Florida )
Produced identification_ I Personally
'ALTER D PAYNE II
Public State of =1s 164
6 mission No.
nission u GG 2446
OR Produced Identification
notary Public -Stale of eaiba
nn x PC, P4467
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS