HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I a • � Permit Number:
RECEIVED
Building Permit Application APR 12 2017
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 S OCEAN DR PH1 -JENSEN BEACH, FL 34957
Legal Description: REGENCY ISLAND DUNES TWO UNIT PH-1 (OR 3024-1702)
Property Tax ID#: 3534-502-0067-000-7 Lot No.
Site Plan Name: Block No.
Project Name: NICHOLSON
Setbacks Front Back: Right Side: Left Side:
[DETAILED DES,CRIPTION OF WORK:
REMODEL MASTER BATH, KTICHEN, DRY BAR. SEE ATTACHED SPECS.
CONSTRUCTION INFORMATION:
Additional work to be j rtormed under t is permit—c ec a app y:
11HVAC l_J Gas Tank ❑Gas Piping _Shutters a Windows/Doors
W1Electric 21 Plumbing Sprinklers Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 2326 S . Ft.of First Floor:
Cost of Construction:$ 13,125.00 Utilities:0Sewer 0Septic Building Height: 13 FLOORS
OWNER/LESSEE: CONTRACTOR:
Name Eric C Nicholson Name: GARY GUTTVEG
Address:2550 Shingletown Rd Company: DREAMWORKS REMODELING LLC
City: State College State:PA Address: 110 SW MONTEREY ROAD-SUITE 1
Zip Code: 16801 Fax: City: STUART State:FL
Phone No.8142800331 Zip Code: 34990 Fax: 772-283-7751
E-Mail: Phone No. 772-283-7742
Fill in fee simple Title Holder on next page(if different E-Mail: GARY@DREAMREMODEL.NET
from the Owner listed above) State or County License: CGC1516592
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 btain financing, consult with lender or an attorney before
commencing w91k or record' o ice of Commencement.
s
Signature of Own er/Lessee/C ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO I A STATE OF FLORIDA
COUNTY OF Uyk1y^k COUNTY OF K0.'r"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of A � 20 Eby this day of �'1' - ,20 R_by
(Name of person ack wledging) (Name of per on'acknowledging)
(Signature of NotaryPublic-State of Florida) (Signat a of N'o ary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced
Id Rfb —
Type of Identification Produced Type of Identification Produ
NOTARY PUBLIC STA FLORIDA
Commission No. (2353 fE OF FLORIDA Commission No. T(3 �
Com" 23582
Cortgn#FF123582 I Expires 5/24/2018,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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