HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application JUL 2 5
Planning and Development Services 2�17
Building and Code Regulation Division PERiVIITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential —
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 9550 South Ocean Dr. Unit 1209, Jensen Beach Florida 34957
Legal Description: ISLANDIA 1 CONDOMINIUM UNIT 1209 (OR 3542-2050)
Property Tax ID #: 4502-601-0113-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace drywall in both kitchen and baths. Install a dedicated elect circuit for microwave
and install GFCI outlets in both kitchen and baths per code. replace existing fluorescent lighting with
recessed lighting in kitchen. Install new shower valves and shower pans in both baths. Install a pocket
door at entrance to master bath.
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit —check all apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
ZElectric ❑✓ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1200
Cost of Construction: $ 15,000.
S Ft. of First Floor: _
Utilities: Sewer F Septic
Building Height: 20 STORIES
OWNER/LESSEE:
CONTRACTOR:
Name CCcG_y
Name:
Address: g5c2C �_, 064at,,_ l�Cti�
Company:
City: FPS h-( State:
Zip Code: 3 '^1 Fax:
Phone No. �S `�^ 3 �(p 3L
Address:
City: State:
Zip Code: Fax:
Phone No.
E-mail: ' cti cAe._Ckc c o [rc c f Eat L
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
FEE SIMPLE TITLE HOLDER
Name: _
Address:
City:
Zip:
Phone:
Name: _
Address:
State: City: _
Zip:
Not Applicable
Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner
ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OFA-z'n
The forgoing instr Lkrent was acknowledged before me
this L-�t- day of 20 1by
t&V- - -S cov-�- " V'Daa5
(Name of person acknowledging )
\1 - 21L�-ta
�4ignure of Notary Public- State of Florida )
Personally Known _
Type of Identification
Commission No.
Revised 07/ 15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Notary Public, State of Florida
ttSmossiont FF 137765 Commission No.
My comm. expires Aug. 12, 2018
(Seal)
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