HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !� c
Date: 9/21/2020 Permit Number: _4 b6!
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�`' , Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Commercial Remodel
PROPOSED IMPROVEMENT LOCATION:'
Address: 8650 S. Ocean Dr Jensen Beach FL 34957 Unit 304
PropertyTax ID #: 3534-501-0010-000-0
Site Plan Name: Regency island Dunes
Project Name: Moeller
-DETAILED DESCRIPTION OF WORK:
Remodel Kitchen, 3 Baths, Flooring, Plumbing, Electric
New Electrical Meter Second Electrical Meter
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: 2200
Cost of Construction: $ 90,000
_ Generator
Lot No.
Block No.
_ Windows/Doors ! Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer —Septic Building Height: 200'
OWNER/LESSEE:
CONTRACTOR: "
Name Steven Moeller
Name: Robert Helmsorig
Address: 8650 S. Ocean Dr
Company: Renovation Technologies
City: Jensen Beach State: _
Address: 21569 Battery park Terrace
Zip Code: 34957 Fax:
City: Boca Raton State: FL
Phone No. 954-554-1776
Zip Code: 33428 Fax:
E-Mail: smoeller@ncicorp.com
Phone No 954-632-0698
Fill in fee simple Title Holder on next page ( if different
E-Mail renovationtechinc@yahoo.com
from the Owner listed above)
State or County License CGC1522634
If value of construction is 2500 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: _ 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 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 jo site before the first inspection. If you intend to obtain financing, consult
wA Iendero6r ariAAtornev before tommencing work or recording vaar Notice.otCoftmencement.
Signature of 0 ner/ Lessee/Contracto gent for Owner
Signature of ConZact License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ��'-� Lie
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COUNTY OF ];,I w� �
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
-'4& Physical Presence or Online Notarization
X-41 Physical Presence or Online Notarization
this;03 day of SP-PA4 +to e;✓ , 2020 by
this day of 2020 by
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Name of person making statement.
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Personally Known OR Produced Identificationy
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