HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/30/21 Permit Number:
97. WOE
O
RECEIVE®
Building Permit Application JUN 3 0 2021
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
St. Lucie County
Permitting
Commercial x Residential
PERMIT APPLICATION FOR: Remodel
PROPOSED .IMPROVEMENT LOCATION:
Address: 8750 S.Ocean Dr Jensen Beach FL 34957 Unit PH-41
Property Tax ID #: 3535-601-0095-000-9
Site Plan Name: ISLAND DUNES CONDOMIIUM A UNIT PH-41 A/K/A ADMIRAL CONDOMINIUM
Project Name: ANTHONY
Lot No.
Block No.
DETAILED DES'CRIPTIBN :O`WORX.
KITCHEN, BATH ROOMS, FLOORING, FRAME DOWN LIVING AND DINING ROOM CEILING, LIGHTING, PLUMBING FIXTURES
New Electrical Meter
Second Electrical Meter
CONSTRUCTION; INFORM' 1[ON77777
Additional work to be performed under this permit— check all that apply:
]Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
N Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1300
Cost of Construction: $ 83'000.00
_ Generator Roof
Sq. Ft. of First Floor: 1300
Utilities: —Sewer —Septic Building Height:
Pitch
loW �I
ER/LESSEE. „ ...
CONTRACTOR:'
NameCURTIS & BAMBI ANTHONY
Name:ROBERT HELMSORIG
Address:8750 S. OCEAN DR UNIT PH-41
Company: RENOVATION TECHNOLOGIES
Address:21569 BATTERY PARK TERRACE
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
City: BOCA RATON State: FL
Phone No.405-627-1097
Zip Code: 33428 Fax:
E-Mail:BAMBIANTHONYGMAIL.COM
Phone No954-632-0698
Fill in fee simple Title Holder on next page ( if different
E-Mail RENOVATIONTECHINC@YAHOO.COM
from the Owner listed above)
State or County License CGC1622634
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.
wiN 6R` m TION r
DESIGNER/ENGINEER: _ Not Applicab
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ 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:
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 x an attornev before commencing work or recordini=_ vour Notice of Commencement.
O
Signature of Owner/Lessee/Contractor as Aynt for Owner
Signature of Cont actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 30 day of JUNE 2020 by
this 30 day of JUNE , 2020 by
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Name of person making statement.0
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of
ou'•:
of Notary Public- State of rii . v;:.• RONALD JAMES N
�Al RONALD JAMES
t1 Q A.% Notary Public • Sta
Commission No.hWQ2FVf7
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AR AS NotaryPublic • Stat
a Florida
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Rev.5/6/20