HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABL I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: � ( ` Permit Number: I r ; z/f,
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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 Residential X
PERMIT APPLICATION FOR: Renovation
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PROPOSED IMPROVEMENT LOCATION: , Ii
Address: 8750 S OCEAN DR PH-54
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT PH-54 A/K/A ADMIRAL CONDOMINIUM (OR 3969-1536)
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Property Tax ID#: 3535-601-0108-000-4 Lot No.
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Complete Interior Renovation-Kitchen- New recess lights, new cabinets, new counter tops, remove
partition wall and relocate switches as necessary. Master Bath- Convert tub to shower, new vanity, new
counter top, new recess lights. Guest Bath- new shower, new vanity, new counter top. Floors- new the
throughout and painting
CONSTRUCTION INFORMATION: Ji
Additional work to be nertormed under t is permit—cleck all appy:
E1HVAC Gas Tank ❑Gas Piping O
Shutters ❑Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,600sf S . Ft.of First Floor:
Cost of Construction:$ Utilities: _Sewer❑S
80,000.00 eptic Bui(ding Height:
OWNERAESSEE: - CONTRACTOR:
Name Rory C DeJohn Vanessa V DeJohn Name: Nathan Cooke j
Address:8 Devon CT Company: Cooke Construction,)Inc
City: Branford State:CT Address: 1278 Business Park Place
Zip Code: 06405 Fax: City: Jensen Beach State:FL
Phone No.917-567-0644 Zip Code: 34957, Fax
E-Mail:roryde@aol.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.
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;SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
-Name: Name:
Address: Address:
City: State: City: I 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. I
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 yiour 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 and attorney before
commencing work or recording-your Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID ,,��
COUNTY OF ��✓�'�'� COUNTY OF /�'`4v�°h
The forgging instrument as acknowledged before me The forgoing instru nt w s acknowledged before me
this� �!day of r 1 20 17by this � day of r � 20 1 ? by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public�tate of Florida) (Signature of Notary Public- of Florida)
Personally Known y OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. C96 �ly�o["!Pei
,, A WALIER D A> missi No. &G Z 7
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Notary Public Sate of Florida a"""'�, WALIER D PAYNE II
Commission GG 24467a°�YP4` � Notary Public State of F ida
M Comm.Expires Aug 2 ; Commission 8 GG 244Revised 07/15/2014 ' F F '� Bonded through National iJotary Assn. '•%�+, �P;�. My Comm.Expires,Aug 25, 020
��'�'�°��� •� Bonded through Na6.nal Notary ssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW IREVIEW REVIEW
DATE
COMPLETE
INITIALS
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