HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/17/21 Permit Number: oG U �U
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
Address: 8650 S. Ocean Drive,#1101 &1102,Jensen Beach, FL.34957
Legal Description: REGENCY ISLAND DUNES BUILDING 1 UNIT 1101 AND 1102
Property Tax ID#: 3534-501-0055-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Interior Remodel. Please see the attached detailed Plans.10CLUD 1 K ITGN N I q,5 l3A7�/S/
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Additional work to e performed under t —checkispermit a apply:
RHVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: 4185 sqft S Ft.of First Floor:
Cost of Construction:$ 400,000.00 Utilities:Sewer Septic Building Height:
w s
V
Name Alan and Patricia Goto Name: Nathan Cooke
Address:2785 N Mill Road Company: Cooke Construction, Inc
City: Oconomowoc State:WI Address: 1276 Business Park Place
Zip Code: 53066 Fax: City: Jensen Beach State:FL
Phone No.414-803-8079 Zip Code: 34957 Fax:
E-Mail:patty.goto@asenzya.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.
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 intepd to obtain financing, consult with lender or an attorney before
commencing work or record In o Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signa re of Contractor/License Holder
STATE OF FLORIDA1 STATE OF ORID�yCOUNTY OF GA COUNTY OF � /L
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this-day of /'}��...-GG,_ 20 Eby this day of /'n Vr_ 20 Z/ by
ASV- X4_ 5 Y\ Z®04�
(Name of person cl d ' (Name gan o 1ng)
(Signature of Notary Public-S t o FI ri a ignature Notary ublic- tate of floridal
,A,A- au'•., WALTER D PAYNE II ,•"""r'6�•; WALTER D PAYNE II
Personally Know 0 eIdeWgibdIofState of Florid rsonall Kno �eFlOWA&at9�b of Florida
Type oo eenf`Ii is ion Produce is e`. Commission#HH 31033 pe of Identificati Prod o` Commission#HH 31033
�/2 „oF ,•' y o Expires Aug 2r�0 4 of r�,.' My Comm. pares Aug 4
Commission No. //'` Jz O Bon d t)rough National Notary Assn. mmission No.�'( 3Z Bonded thr tional Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 2103-0801
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
EROPOSED NMPROUEMENT LOCATION Y_ q 'r
Address: 8650 S. Ocean Dr, #1101 & 1102, Jensen Beach, FL 34957
Legal Description: Regency Island Dunes Building 1 Unit 1101 and 1102
Property Tax ID #: 3534-501-0055-000-7 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Block No.
Interior renovation to include physically combining unit 1101 and 1002 which are listed as one unit by
property appraiser with one tax ID number. New kitchen and bathroom cabinets, flooring, lighting,
showers, flooring, and sinks will all be updated. Floor plan updated as per plans with new duct work and
AC systems as well as update fire suppression sprinklers to accommodate new floor plan.
nuunivna1w��nwuc c�w�incu unuCl u1MNCl111.—UICLrcan Oliply.
ZHVAC Gas Tank ❑Gas Piping rl Shutters a Windows/Doors
ZElectric W Plumbing Sprinklers 1-1 Generator Roof
Total Sq.. Ft of Construction: 4,185sf S Ft. of First Floor:
Cost of Construction: $ 400,000.00 Utilities:'n Sewer F]Septic Building Height:
OVI/NER/LESSEE: ''
CONTRA
r5.: Y
DR;h
rLao:dv
Name Alan and Patricia Goto
Name: Nathan Cooke
Address: 2785 N Mill Road
Company: Cooke Construction, Inc
City: Oconomowoc State:Wl
Address: 1278 Business Park Place
Zip Code. 53066 Fax:
City: Jensen Beach State: FL
Phone No. 418-803-8079
Zip Code: 34957 Fax:
E-Mail: patty.goto@asenzya
Phone No. 772-530-0659
E-Mail: nate@cookeconstructioninc.com
Fill in fee simple Title Holder on next page ( if different
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.
_ Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE FOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 po ted on the jobsite
before the first inspection. If you i tend to obtain financing, consult with lender or, a attorney before
commencina work or recording4bur Notice of Commencement. ✓'�
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID
jj I I STATE OFLORI
COUNTY OF /f «/ t `M COUNTY OF��ti ' tl\
The fq� �pping instrument Was acknowledged before me
this? -day of k 20 ;�-±by
(Name of
(Signature of Notary
Personally Knowh
Type of I i ica ioP o�
Commission No. / `,L�3
Revised 07/15/2014
The forgoing instrum nt was cknowledged before me
this Z-Say of 20 'Z ( by
Personallv KnowC V 1 OR Produced Identification
Commission k HH 32033
My�( Expires Aug 25, 2024 Commission No.1w.
�i Y►'" (Seal) WALTER D PAYNE II
ad tHrougf! National Notary Assn. Notary Public - State of Floi
a` Commission 0 HH 32033
through National Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS