HomeMy WebLinkAboutSt Lucie Permit_Application_CompleteALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building. and Code Regulation Division
Permit Number:
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: 1772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Renovation 11
9600 S. Ocean Drive, #904, Jensen Beach, FL. 34957
Legal Description: EMPRESS CONDOMINIUM UNIT 904
Property Tax ID It: 4502-620-0067-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Master Bath: Install new shower valve, tub valve, pan, recess LED lights, exhaust fan, sink, shut-off
valves, toilet, shower enclosure & plumb new sinks & faucets. Guest Bath: Convert tub drain to shower
drain. Install new shower valve, pan, recess LED light & vanity light, exhaust fan, sink shut-off valve,
toilet, shower enclosure & plumb new sink & faucet. Drain & all remain in same location. See attached.
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❑ HVAC Gas Tank ❑Gas Piping _Shutters OWindows/Doors
❑✓_ Electric ZPlumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: 145 sqft. S. Ft. of First Floor: _
Cost of Construction:$ 20,000.00 Utilities: Sewer DSeptic
Name Pat G Bitzer
Address: 19 Morgan Hill Drive
City: Doylestown State: PA
Zip Code: 18901 Fax:
Phone No. 772-229-2368
F-nn�u None
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
or more, a RECORDED
Name: Nathan Cooke
Building Height:
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@cookeconstructioninc.com
State or County License: CGC1520585
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
VEGETATION
Address:
MANGROVE
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable o
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 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. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID qq���� // STATE OF FLORI /
COUNTYOF y(Sie/11-t COUNTY OFA, ✓0`—'f'✓I
The forggding instru ent was acknowledged before me
this
NI
of 2.z200by
Personally
Type of Ida
Commission
Produced Identification
WALTER D PAVNE II
NcQ9galublic - Slate of Pori
Commission # GG 24467
The forgo' gInstruwas acknowledged before me
this ay of X' �;K 20 ---v by
OR Produced Identification
S,Wf9LTER 0 PAYNE II
Rary Public - State of horan
Commission # GG 24467
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TU RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS