HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 28,2017 Permit Number: cog 4
R E C EI'.":D MAR 312017
•
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 X Residential
PERMIT APPLICATION FOR: Renovation
�PROPOSED`IM PROVE MENT LOCATION:
Address Iq Ocean Dr.Jensen Beach, FI.34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 306 AND UND SHARE IN COMMON ELEMENTS(OR3961-655)
Property Tax ID#: 4502-503-0030-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Austin
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK;
Remove a section of wall in kitchen (non-load bearing)
Bring electrical outlets up to code in kitchen, relocate electric as'needed due to wall removal
tO;NSTRUCTION INFORMATION:
Additional work to be
ne orme un er t is permit _apply:
HVAC Piping a Windows/Doors
j [:]Gas
Electric ✓❑ Plumbing ❑Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: 96 S Ft.of First Floor:
Cost of Construction:$ 4700 Utilities. Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jane Austin Name: Richard N.Bartholomew
Address:1624 SE Andrews St. Company: See The Difference, Inc.
City: Stuart State: FL Address: 503 SE Nome Dr.
Zip Code: 34996 Fax: City: Port St.Lucie State:FL
Phone No.772-286-2624 Zip Code: 34984 Fax: 772-777-4084
E-Mail: Phone No. 772-201-3513
Fill in fee simple Title Holder on next page(if different E-Mail: office@seethedifferenceinc.com
from the Owner listed above) State or County License: RB29003669
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S.UPPLEMENTAL..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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF--- COUNTY OF —
The for ling instrument was^acknowledged before me The forgoing instrument was acknowledged before me
this day of f(b Ch 20 aby this 28 day of March ,20 _a by
Richard N.Bartholor6w Richard N.Bartholomew
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF155600 eair— LOMI nission No. FF155600 +"••rn�+.,, B e® RA WATSON
tiPpr... r o:... ...a4+,
MY COMMISSION#FF1 5600 *t "€ MY COMMISSION#FF155600
EXPIRES August 28,2018
............
'!i o►, '•` EXPIRES August 28,2018
of „o Revised 07/15/2014 (407)398-0163 FlorldallotaryServlce•com (407)398.0153 Florldallot8 ryServloe.00m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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