HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
R`R,0P05ED IMPRCtt1fMENTLOCAT40N • ';.'4',
Address: 9800 S OCEAN DRIVE,#208, JENSEN BEACH, FL. 34957
Legal Description: ISLAND BEACH CLUB-APT 208 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-504-0025-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
t7ETAlLED�DESCRI"PTION 0F. WORK:
Kitchen: Replace cabinets &tops. Install new LED recess lights & update GFCI as needed. Plumb new
sink. Guest Bath: Replace cabinets &tops, update GFCI as needed. Add recess LED light. Replace tub
with new WED waterproof shower pan & tile. Plumb new sink, faucet, & replace toilet. See Plans
Attached.
CON5TR0.CTION'INFORMATION
Additional work to e e orme un ert ispermit—checka apply:
0HVAC 01 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑✓_Plumbing Sprinklers 1:1Generator 1:1Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 20,000.00 Utilities:'nSewer Septic Building Height:
f�\NNERJESSE 0(UTRAOTQR =:" . "
Name Katherine Banicki and Anastasia Banicki-Hoffman Name: Nathan Cooke
Address: 12959 Lincoln Drive Company: Cooke Construction, Inc
City: Huntington Woods State:MI Address: 1276 Business Park Place
Zip Code: 48070 Fax: City: Jensen Beach State:FL
Phone No. 1-248-755-4331 Zip Code: 34957 Fax:
E-Mail:kbanicki@tectest.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.
hCONSTRUCTION LIEN LAW`INFORMATfON:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con�lict 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
commencing work or recording ur Notice of Commencement.
_Signature of Owner/L ss a/Agent Signature of Contractor/License Holder
STATE OF FLORIDA /�° STATE OF FLORIW
COUNTY OFavfl COUNTY OF /y/ti `�
The forpaing instrument was acknowledged before me The forg ing instrument was acknowledged before me
this dffayof Av'9v5' / 20Z1 by this��''/tiayLof u L/ � _ 20 LI by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public- to of a) (Signature of Notary Pub c-Sta of Florida)
Personally Know - OR Produced Identification Personally Know OR Produced Identification
Type of Identification Pro Type of Id rca wn Produced
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Nota Public-State of Florida/L1 rvp-�., WAL7ERDPAVhE.I
Commission No.HI -� ryry�� ��3z® ���� �p Pubtic-State of Flom
Cd�i Ion p HN 32033 Commission No. ptt��pp
My Comm.Expires Aug 25,2024 ( �Zdfnmission q HN 32C3i
Bonded through National Notary Assn. `ry?'ov h My comm.Expires Aug 25,2'i:=
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Revised 07/15/2014 Ad thm,uih National
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