HomeMy WebLinkAboutMontero Drywall PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7116/2021 Permit Number:
t L o �, L I, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR: DRYWALL PERMIT
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Dr 302 Jensen Beach FL
PropertyTax lD #: 4502-620-0011-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1 1/2" High Hat @ 16" OC & pinned at 16" OC
Drywall 1/2 ceiling board screwed per code
Change tub to shower master shower cap off
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical —Gas Tank Gas Piping _ Shutters Windows/Doors _ Pond
Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8,275.00 Utilities: —Sewer —Septic Building Height-
OWNER/LESSEE:
CONTRACTOR:
Name Raul & Jeannette Montero
Name: John Jacobs
Address: 1826 SW 150th Ave
company: John Jacobs Construction Inc.
City: Miramar State: FIL
Zip Code: 33027 Fax:
Phone No.
Address: 4701 Oleander Ave
City: Fort PiPrr.P State:
Zip Code: 34982 Fax: 772-466-6491
Phone No 772-882-8334
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail_ irnjacobs4701(@gmail com
State or County License CC13C..060491
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 your Notice of Commencement.
Signatur Owner/ Lesse C n ractor as gent for Owner
STAT F FLORIDA
COU OF S LL,�, C.)
Sworn to (or affirmed and subscribed before me of Physical Presence or Online Notarization
this V day of, 204 by
)o V., �1 CJ` 0 0 b g
Name of person making statement.
Personally Known _ OR Produced Identification
Type of Identification Produced
.e--®
(Signature of Notary Public- State of Florida )
Commission No. G C 9 0 &1 (Seal)
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Notary Public State of Florida
Y
Casey Sinkley
My Commission GG 906880
Expires DW212023
SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Johnn Jacobs Construction Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for John Jacobs Construction Inc.
(Type of Trade) (Primary Contractor)
For the project located at 9600 S Ocean Dr 302, Jensen Beach 14502-620-0011-000-7
(Project Street Address or Property Tax ID #)
it is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONT CTOR SIGMA (Qua r
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of�-
pp .t>"
The foregoing instrument was signed before me this I �� day of
..�lw 205-I,,))by
who is personally known nor has produced a
as identification.
STAMP
Signature oUotary Public
SIGNA
PRINT NAME
C t q ;,lc) �,o `)' a g g D, ('i
COUNTY CERTIFICATION NUMBER
State of Florida, County of�
fih
The foregoing instrument was signed before me this day of
-, 20` 1 by JG Y1 11 7 0-C- bs
tj
who is personally known X, or has produced a
as identification.
�
STAMP
Signature of 10tary Public
S e Y'r s� tI cC.S Q y 1 1C 1 e Q)l/
Print Name oftiotary Public Print Name of N tary Public
}off Pryp Notary Public State of Floridan o Notary Public State of Florida
Casey Bin
kiey Case Sinkle
My Commission GG 906880 2
Expires 08l22l2023 ^� My Commission GG 906880
9FA �uiw ExpiresQ812212023
Revised 11/16/2016 '.�