HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- _0 R�CEIT_D MAR 24 201EMM
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
"PROPOSED IMPROVEMENT•LOCATION
Address: 8600 S OCEAN DR 802
Legal Description: REGENCY ISLAND DUNES TWO UNIT 802(OR 3544-645)
Property Tax ID#: 3534-502-0038-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-0F WORK.
Residential Interior Renovation- New cabinets in kitchen, New flooring with cork underlayment in
kitchen. Plumbing- Kitchen new faucet and sink, new ice maker line. Electrical- remove wall in
kitchen and relocate wall switches, new recess lights in kitchen, relocate refrigerator in kitchen
CONSTRUCTION INFORMATION
Additional work to e ertormed under this permit—c ec a apply:
11HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
ZElectric ❑✓r Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction. 300sf S . Ft.of First Floor:
Cost of Construction:$ 30,000 Utilities. Sewer E]Septic Building Height:
OWNER/LESSEE:'., . T CONTRACTOR:
Name Kenneth Deckert Patricia Deckert Name: Nathan Cooke
Address:142 Saltwater Way Company: Cooke Construction, Inc
City: Savannah State:GA Address: 1278 Business Park Place
Zip Code: 31411 Fax: City: Jensen Beach State:FL
Phone No.772-530-0659 Zip Code: 34957 Fax:
E-Mail:kfdeckert@gmail.com Phone No. 772-530-0659
Fill in fee simple Title Holder on next page(if different E-Mail: nate@cookeconstructioninc.com
from the Owner listed above) State or County License: CGC1520585
If value of construction is$2500 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:
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 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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA r STATE OF FLOR ��
COUNTY OF - iit �,Vj COUNTY OF'
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The forgof'ng instrume t was acknowledge before me The forgo'ng instrument was acknowledged before me
this_=Fday of 20 � y this��y of Aec4 20 L-;7 by
N�-�krlv. 4!�SoLe_ ��.� v%, Can
(Name of persoli acknowledging) (Name of person acknowledging)
(Signature o Notary!�roduced
to of Florida) ignature of Notary Public-Sta lorida)
Personally Known Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Commission No. G 2 7 y ission No. �7�Z 7
a -7.? JI_
�""'��. WALTER D PAYNE I WALTER D PAYNE It
Notary Public -State of Florida ?°;� `°�t� Notary Public State of F da
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My Comm.Expires Aug 25,2020 ;T Poc My Comm.Expires Aug 25, 020
Revised 07/15/2014 Bonded throw h National Nolary Assn. '•FpF F�
9 Bonded through National Notary ssn.
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