HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number:
Building Permit Application APR 11 2017
Planning and Development Services PER[.fj1T7iNG
Building and Code Regulation Division St. Lucie County, FL
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_LO -ATION:.
Address: 9500 S. Ocean Dr. 1810, Jensen Beach, FL 34957
Legal Description: Islandia II Condomunim 1810 (OR3609-2798)
Property Tax ID #: 4502-602-0174-000-1 Lot No.
Site Plan Name: Block No.
Proiect Name: Islandia 111810
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Kitchen and master bath remodel. Changing out plumbing and adding electrical. Taking out soffit,
moving some outlets and switches in Kitchen.
CONSTRUCTION INFORMATION: --
Additional work to e e orme under this permit— check
11HVAC 13 Gas Tank Gas Piping
a
a apply.
_ Shutters
Q Windows/Doors
R] Electric 0
Plumbing
Sprinklers
Generator
F]Roof Roof pitch
Total Sq. Ft of Construction: 385'
S Ft. of First Floor:
Cost of Construction: $ 39,012.00
Utilities:
Sewer E]
Septic
Building Height: i
OWNER/LESSEE '._ :
'CONTRACTOR: `
NameJames Gallagher
Name: Katherine LaDeene Dodson
Address:760 Cove Dr
City: Port Austin State:Ml
Zip Code: 48467 Fax:
Phone No.989-615-2808
Company: Agler Kitchen Bath & Floors
Address: 3501 S Indian River Dr
City: Ft. Pierce State: FL
Zip Code: 34982 Fax: 772-692-0070
Phone No. 772-692-0077
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I
E-Mail: ladeene@agledntedors.com
State or County License: FL 1250637
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X 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
commending work or recording your Notice of Commencement.
s
?r/LesVe/C6ntracior as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ►r1
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this{k� day of _A aj ,. 20 Qby this U� day of byiY� 20 IrT by
6
(Name of person acknowledg'n ) (Name of person acknowledging )
r, / \' r, A I - -,-,0 /V��L 0-ti /,\ /I,- -
Wig -nature of Notary u lic- State o rida ) 6
Personally Known oL-- OR Prod �udIdentification
Type of Identification Produced
Commission No c''rQN91`S
Revised 07/15/2014
J-...Inh - keS 4 A
(Signature of Notary Pub ic- State of F on a )
Personally Known D� OR Produced Identific io
1was.i"entification Produced _
Commission # FF 2 ,r Imis ion
Expires October 6, 2019
Swd,d U. hoy F31n I nar a 9 M5-7019
•:*' e CHANTAL MONTGC
Commission # FF 92
, a'�'= Expires October 6, 2(
tin Rai,,, OoNed Thor Troy Fain Inwmee
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