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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6" \3 - U Permit Number Building Permit Applicatio Planning and Development Services Building and Code Regulation Division Commercial X Re'. 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 AUG 2 6 2020 rn,iitthng Dc_,par tent itial-_"Cie CCou lty, FL PERMIT APPLICATION FOR: Master Bath Remodel p 4r P i f % � PROPOSED IMA'PA JVEMENT�LOC Address: 10410 S Ocean Drive #209 Jensen Beach, FL 34957 Property Tax ID #: 4511-514-0009-000-2 Site Plan Name: Project Name: Remove wall at closet to expand bathroom, move vanity to opposite wall, enlarge shower New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors %t Electric iC Plumbing _ Sprinklers Generator — Roof Total Sq. Ft of Construction: 200 Sq. Ft. of First Floor: _ Cost of Construction: $ 12668.00 Utilities: —Sewer _ Septic Lot No. Block' N o. _ Pond Building Height: Pitch SEE TNOA k i k M1! Mu i Name N. Kodey Jolly Name: K. LaDeene Dodson Address:10410 S Ocean Dr #209 Company:Agler Kitchen Bath & Floors, Inc City: Jensen Beach State: _ Address:1970 NW Federal Hwy Zip Code: 34957 Fax: City: Stuart State: FL Phone No.502-639-6514 Zip Code: 34994 Fax: 7726920070 E-Mail: Phone N0772-692-0077 Fill in fee simple Title Holder on next page ( if different E-Mail ladeene@aglerinteriors.com from the Owner listed above) State or County License CBC1 250637 If value of construction is 2500 or more, a RECORDED Notice of commencement is regwrea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTIONis LIEN LAW, INFORMATION " ' n r � ,.. ";r.•f 4 .A DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx Not Applicable Name: 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 with lender or an attorney before commencing work or recording our Notice of Commencement. "t A lottw &_Z� � A &_bw "-76— Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Maru- COUNTY OF Martin Sworn to (or affirmed) and subscribed before me of. Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notar atidn e Physical Prese ce or Online Notarizatio a this ? day of Na T , 2020 by - this day of _ j 2020 by �� �. -• �.- Vim- � 1i�5 b Name of person making statement. ,; Name of person making statement. Personally Known xx OR Produced Ident c� i t o Personally Known xx OR Produced Identificati 'g Type of Identification '- '- Type of Identification c Produced Produced 30 • 9 (Signature of Notary Public- State of Florida) i :' (Signature of Notary Public- State of Florida) C�►C i�� ©� ( ' - " Commission No. Seal Commission No. G6k�AEPS (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.