HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/26/2020 Permit Number:
ULCER-
c "' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Remodel Master and Guest Bath
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 S Ocean Dr #1004 Jensen Beach, FL 34957
Property Tax ID #: 3534-502-0052-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Lindsay Bathroom
N OF WORK:
Master bath and guest bath- Remove vanities and replace with new to include new tops, sinks, faucets. remove bathtubs
and install showers using existing floor drains. Install new exhaust fans and recess lights. Install new toilets in same location
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 150sf Sq. Ft. of First Floor:
Cost of Construction: $ 25,000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Donna Lindsay
Name: Nathan Cooke
Address: 8600 S Ocean Dr
Company: Cooke Construction, Inc
City: Jensen Beach, FL 34957 State: _
Address: 1276 NE Business Park PI
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No. 309-368-9000
Zip Code: 34957 Fax:
E-Mail: boblindsay@yahoo.com
Phone No 772-530-0659
Fill in fee simple Title Holder on next page ( if different
E-Mail nate@cookeconstructioninc.com
State or County License CGC1520585
from the Owner listed above)
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.
JIM
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:
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. 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 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 Co mencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID (
COUNTY OF �//f �.. ✓`
STATE OF FLORID�,/J
COUNTY OF 2/ /'^
Swor o (or affirmed) and subscribed before me of
Sworn o (or affirmed) and subscribed before me of
Ph sicr cal Presence or Online Notarization
this �+L d(ay of 202f by
Physical Presence or Online Notarization
this ay of 2020 by
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Name of person makingstatement.
Name of person making statement.
Personally Known --/ OR Produced Identification
Personally Know ^/OR Produced Identification
Type ntificatio�-
Type aFhienttfi-cation
Produced
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WALTER D PAYNE II
Notary Public - State of Flori
a �,r °U •'•• WALTER D PAYNE II
• ': Notary Public State of Florida
(Signature of Notary Public- S t ri* Gomm. Expires Aug 25, 20
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4 i ature of Notary P ic- or m. Expires Aug 25, 2024
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
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