HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1`
Date: 3 ay n Permit Number:
RECEI
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 IMPROVEMENTLOCATION:
Address: 9600 S OCEAN DR 406
Legal Description: EMPRESS CONDOMINIUM UNIT 406(OR 3295-2065)
Property Tax ID#: 4502-620-0024-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
Residential Interior Master Bath Renovation- New cabinets in master bathroom. Plumbing- Remove
existing tub and install new tub with new valves, remove shower and install new shower pan with new
valves, install new toilet and vanity sinks and faucets. Electrical- new exhaust fan and vanity lights in
bathroom
CONSTRUCTION:INFORMATION:
Additional work to e e orme under t ispermit—checka apply:
E1HVAC E]GasTank ❑Gas Piping Shutters Q Windows/Doors
ZElectric ❑✓ Plumbing OSprinklers F Generator 1:1 Roof
Total Sq. Ft of Construction: 200sf S . Ft.of First Floor:
Cost of Construction:$ 20,000 Utilities:cn Sewer E]Septic Building Height:
-OWN ER/LESSE.E: CONTRACTOR:
Name Robert E Vanover Robyn Vanover James B Harvey Name: Nathan Cooke
Address:9600 S Ocean DR Apt 406 Company: Cooke Construction, Inc
City: Jensen Beach State:FIL Address: 1278 Business Park Place
Zip Code: 34957 Fax: City: Jensen Beach State:FL
Phone No.772-631-6801 Zip Code: 34957 Fax:
E-Mail:robertevanover@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.
I
SUPPLEMENTAL CONSTRUCTION LIEN-LAW`INFORMATION
DESIGNER/ENGINE.ER: _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.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORID
COUNTY OFy �') COUNTY OF
The fo�rrgQJJ'n�g instrume t was acknowledged before me The forgoing instrument w s acknowledged before me
this 2-3— ay of .,feCt 20 17by this�t+ay Of l- 20 ( �by
(Nameperso acknow ng) (Name of person acknowledging)
(Si a ure of Notary Public- t of Florida) (Signature of Notary Public-State of Florida)
Personally Known o Ja
onally Known OR Produced Identification
Type of Identification Produ d WALTER D PAYNE II of Identification Produced
•`o' "'Y'p"� WALTER D PAYNE i
�, Notary Public State of Flo /� 'R �.'J mmission # GG 2446 �j Z7 y e` otary Public -State of rida
Commission No.�� / :• Sea�p mission No. _ _ I�My Comm.Expires Aug 25, I
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Bonded through National Nofary F My Comm Expires Aug 2 020
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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