HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: 9960 S OCEAN DRIVE, #204, JENSEN BEACH, FL 34957
Legal Description: THE MIRAMAR II UNIT 204 (OR 1
Property Tax ID #: 4502-702-0004-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Guest Bath Renovation: Install new shower pan & shower valve. Install new vanity, recess lights,
update GFCI as needed. See Attached Plans.
11HVAC LJGas Tank
Electric EZI Plumbing
Total Sq. Ft of Construction: 50 sgft
Cost of Construction: $ 20,000.00
Name Leonard and Elizabeth Bruen
Address: 9960 S. Ocean Drive, #204
Cnis permit— cnecK an al. apply:
Gas Piping Shutters Windows/Doors
Sprinklers E Generator Roof
S Ft. of First Floor: _
Utilities:onSewer ElSeptic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-708-2570
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Noma: 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
F-Mail- nate@cookeconstructioninc.com
State or County License: CGC1520585
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
Not
Name:
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City: _
Zip: _
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 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 recordi3a£vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA yyJ
COUNTY OF
///^��`�
The forgoing ins ment was_acknowledged before me
this zv day of GCvv4be`L_ 20 ?J by
e--00 k
(Name of person acknowledging )
AAallakL
(Sigfiafure of Notary Public- 5fat& of Tforicla )
Personally KnownOR Produced Identification _
pe of entificati n 2rodo=ed _ _ _ _ _ _ _ _ _
WALTER0 PAYNE ii
Commission NoNotary Pgftal;tate of Florida
Commission R HH 32033
My Comm. Expires Aug 25, 2024
Revised 07/1
STATE OF FLORIDA
COUNTY OF
The for oing m&trument was acknowledged before me
this day of 20 _ i by
(Name of person acknowledging )
(Signature of Notary Public- State ofk rida )
OR Produced Identification
�/ >ii'• WALTER D PAYNE II
Commission No. f / `: Noty"git- State of Florida
Commission ✓I HH 32033
My Comm. Expires Aug 25, 2024
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