HomeMy WebLinkAboutBuilding Permit Application7 � 1
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED
Date: Permit Number:.; b
RECEIVED
COUNTY 1 SEP 2 2 Ma
Building Permit Applicati0ftmitti%1 Depart
St. Lucie e Coun
Planning and Development Services tv
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IM0,ROytmtNT LOCATION;:
Address: 10701 S. Ocean Drive Lot 8665, Jensen Beach, FL 34957
Property Tax ID #: 4511-510-0067-000-4
Site Plan Name:
Project Name:
Lot No. 866
Block No.
DETAILED DESCRIPTION O.E WORK
Remodel interior of home. Move bathroom, kitchen, and master bedroom to new location in home
CONSTRUCTION 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:
Cost of Construction: $ 32473.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE ;ya',.,,'n°.
;;CONTyRACTgR �i"r,'.k
Name Mark and Leslie Tlumack
Name: James Newman
Address:10701 S. Ocean Drive, Lot 866
Company: JWN Builders LLC
City: Jensen Beach State: _
Address:1701 SE Carvalho Street
Zip Code: 34957 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No 772-871-9500
E-Mail jwnconstruction@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CRC1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION ,'
LAIN INFORMATION;
, ,LIEN ,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 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 WU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF COMMENCEMENT."
1/11
ature of Owner/ Lessee/Contractor as Agent for Owner Sign X ure of Contractor/License Holder
STATE OF FLORID r STATE OF FLORIDA COUNTY OF `� . L J C Gs COUNTY OF S-I
. L9 o2i
The fo oing instrument wa acknowledged before me
this day of sg� �- , 20 20 by
i
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati n
REVIEWS
RECEIVED
DATE
COMPLETED
SHARON K. NEWMAN
CaaamissionOW 94675 (Seal)
Expires April 20, 2021
The forgoing instent w s acknowledged before me
this � day of ru 20A by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Sighatdre of-Nn*aW-p,i-hl-gr- Stat of Florida )
SHARON K. NEWMAN
Commission emmissioa#GG09076Sea1)
Expires April 20, 2021
FRNT ZONINGCOUO TER I REVIEW I S REVIEWUPERVISOR I RE EW LANS I VRE EWEGETATION S REVIEW ATURTLE I MANGROVE