HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
05/1812020 Permit Number: lao m 4-6
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
C HVED
Building Permit Applicati I
n JUN 2 9 2020
ST. Lucie County, Permitting
Commercial Residential
PERMITTVPE:Guest Bath Remodel - c a�an
PROPOSED IMPROVEMENT LOCATION:.
Address: 10410 S Ocean Drive Apt 303 Jensen Beach, FL 34952
Property Tax ID #: 4511-514-0012-000-6
Site Plan Name: Hutchinson Island Club
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.11
Block No. 37S
Remodel guest bath with new shower, new valve, rain head shower, new vanity with new taucei, new recesseu ngnus
CQNSTRLICTION' INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 50
Cost of Construction: $ Lu
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles Falter III
Name: Katherine LaDeene Dodson
Address:10410 S Ocean Drive Apt 303
Company:Agler Kitchen, Bath & Floors, Inc
City: Jensen Beach State: _
Zip Code:34957 Fax:
Phone No.410-215-8694
Address-1970 NW Federal Hwy Ste A
City: Stuart State:FL
Zip Code: 34994 Fax: 7726920070
Phone N0772-692-0077
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ladeene@aglednteriors.com
State or County License CBC1 250637
If value of construction is 5Z500 or more, a RECOROEo Notice or commencement is requwrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
=SUPPLEMENTAL CONSTRUCTION;LIEN LAW INFORMATION:
....E _ , .
x_ NotApplicable
pplicable
DESIGNER/ENGINEER:MORTGAGE
Name:
COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
as Agent for Owner Signature
STATE OF FLORRA - STATE OF FLORIDA
COUNTY OF 6f�A COUNTY OF�M (Af+kn
The f rgoing instr ment was acknowleciggd,before me The forgoing instru ent was acknowledged before me
this r day of J (Aff. 205 by this__ day of JW. 20PD by
b wlwn T 1.PA 1 sue,
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
Notary
Commission
Personally Known X OR Produced Identification
Type of Identification
Produced
of NotaryPublic-State
cc
n No. G/ 16908
19.
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