HomeMy WebLinkAboutBochneak - Completed Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 20, 2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial xxxx Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Lindy Bochneak Condo Alteration
PROPOSED IMPROVEMENT LOCATION:3223 Lakeview Circle #5, Hutchinson Island
Address: 3223 Lakeview Circle #5, Hutchinson Island FL 34949
Property Tax ID #: 1426-502-0005-000-7
Site Plan Name: Bochneak Condo
Project Name: Bochneak Condo
I DETAILED DESCRIPTION OF WORK:
Relocating Lights & Wall Switches for Master & Guest Baths - New Shower for Master Bath
New Vainties/Sinks/Faucets/Toi lets for Guest Bath & Master Bath
Kitchen Alteration
New Electrical Meter NA Second Electrical MeterNA
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lindy Bochneak
Name:Joshua Farrow
Address: 3223 Lakeview Circle #5
Company: Farrow Construction Corp.
City: Hutchinson Island State: _
Zip Code: 34949 Fax: NA
Phone No. NA
Address: 1821 Lemon Ave. Ste. B
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772.217.3918
Phone No772.617.2488
E -Mail: NA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail info@farrowconstruction.com
State or County License CGC1 508740
IT value of construction is ZSUU or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xxx Not Applicable
Name:
MORTGAGE COMPANY: xxx Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable
Name:
BONDING COMPANY: xxx Not Applicable
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
withJender or an attorney before commencing; work or recording; vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day 1tl
_-K Physical Presence or Online Notarization
?_'�
-2S of ,�� 2020 by
this day of 3 y 1 y 2020 by
Lindy Boshneak
Joshua Farrow
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification �(�
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Producej
Y E E EISWERTH
IVA A(Signat#
VAA-4 v v'
of Notaryi�li wf44M wfp> ION # 00016744
(Signature of Notary Public : 'a # GG01674
EXPIRES July 31, 2020�AMISSION
Commission No.
XPt S July 31, 2020
Commission No. cM"' �Sea
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