HomeMy WebLinkAboutColin permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/05/2021 Permit Number:
C�LJ�I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9960 S Ocean Blvd. #1101, Jensen Beach, FL 34957
Property Tax ID #: 4502-702-0046-000-2
Site Plan Name: Beverly and Andrew Colin
Project Name: Beverly and Andrew Colin
DETAILED DESCRIPTION OF WORK:
Remodel of kitchen and bath
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
xx Residential
Additional work to be performed under this permit — check all that apply:
Mechanical . Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric )S-_ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3r S Utilities: —Sewer —Septic
OWNER/LESSEE:
Name Beverly and Andrew Colin
Address; S Ocean Blvd. #1101
City. Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.772-208-7058
E-Mail*cgalactus@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR
Lot No._
Block No.
Building Height:
Name: Katherine LaDeene Dodson
Company:Agler Kitchen, Bath, and Floors
Address.-1970 NW.
Pond
Pitch
City: Stuart State: FL
Zip Code: 34994 _ Fax: 772-692-0070
Phone N0772-692-0077
E-Mail ladeene@aglerinteriors.com
State or County License 662, vK;
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: XX Not Applicable
Name:
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zi p: Phone:_
State
XX Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
XX Not Applicable
State:
XX Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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. Pease 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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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of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF —!-A L Auc
SW_Qrn to (or affirmed) and subscribed before me
x h sical Presence or Online Notarizati
this day MUrL 2021 by
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Name of person making statement.CD
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Personally Known X OR Produced Identific
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Type of Identification
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isigniture of Notary Public- State of Florida
C-a l loq
Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED
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-A ,N
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Sti L.LLc..ae,
Sworn to (or affirmed) and subscribed before me of
sical Presence or Online Notarizatio
thisP day of 202F by
I!�•.CL L.r-c!
Name of person making statement.
Personally Known X OR Produced Identifica
Type of Identification
(Signature of Notary Public- State of Florida )
Commission No.G61iIaC1tT0 5 (Seal)
PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW E REVIEW REVIEW REVIEW