HomeMy WebLinkAboutPermit Application CompleteALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
NMI
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
Address: 8600 S. Ocean Drive, #404, Jensen Beach, FL. 34957
Legal Description: REGENCY ISLAND DUNES TWO UNIT 404 (OR 1960-1811
Property Tax ID #: 3534-502-0016-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Replace Kitchen cabinets & countertops using same footprint. Update lighting with new LED recess
lights. Install sink & faucet Same Location. Master Bath: Install new cabinets, countertop, sink, faucet,
toilet, tub & shower All in Same Location. Guest & Hall Bath: Install new cabinets, countertop, sink,
faucet, toilet, & shower All in Same Location. See Attached Plans.
AU UUI Id WUIN w ue
❑HVAC
❑✓_ Electric
UI
I U I II]eU UI IUe1 1.111J Petfll lL —cn ecrc au lnal apply:
Gas Tank ❑Gas Piping ❑Shutters ❑Windows/Doors
Plumbing ❑Sprinklers ❑ Generator ❑ Roof
❑✓_
Total Sq. Ft of Construction: 1,000 sqft
Cost of Construction: $ 65,000.00
Name David Begin and Deborah Pritchard
Addracc. 200 Pickett District Road
City: New Milford
Zip Code: 06776
Phone No. 1-203-910-1603
S Ft. of First Floor: _
Utilities: 0 Sewer ❑ Septic
State: CT
E-Mail: dbegin16@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Nathan Cooke
Building Height:
Company: Cooke Construction, Inc
Address: 1276 Business Park Place
City: Jensen Beach
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: nate@cookeconstructioninc.com
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
DESIGN
Name:
_ Not
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
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 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 voLlr-Notice of Commencement. r
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA y� °,, STATE OF FLOX /.
COUNTY OF /Z(w COUNTY OF i/�GyY Ct�
The forgoing instrument was acknowledged before me
this I.71 day of . 4v4,r Sf 20Z 1 by
(Name of person ackgowiedgtng ) ,7
Personally Knp OR
Type of Id is n duced
Commission
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this �_Aclaaa-/y�of cLv —20 07/ by
(Name of person acknowled
(Signature of Notary Public- Sta Florida )
nally Know OR P�i ' '
Typ of I 1 iCdtio roti"ed iv'o;: W&ITLG n CAVYC u
Commission # HH 320 3�
Y fission No. H#
•Comm. Expires Aug 25 20
through National Nota Assn.
Notary Public - State of Fli
e mmission # HH 3203
Ay no. Expires Aug 25,
d through National Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS