HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
All APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: 12/ �•d I' z.)' Permit Number: 1 ��
RECEIVED
Building Permit Application DEC 2 1 2021
Planning and Development Services St. Lucie County
Building and Code Regulation Division Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Remodel
PROPOSED IMPROVEMENT ,LOCATION•
Address: 9600 S. Ocean DR Jensen Beach FL 34957 Unit 1403
Property Tax ID #: 4502-620-0109-000-1
Site Plan Name: EMPRESS CONDOMINIUM UNIT 1501 (OR 3298-2590)
Project Name: Parker
DETAILED DESCRIPTION OF WORK:
Overall remodel of unit, Kitchen, Baths, Flooring, Electric and Plumbing
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
,Electric (K Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor:
Cost of Construction: $ 85000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sandra Parker
Name: Robert Helmsorig
Address: 9600 S. Ocean DR Jensen Beach FL 34957 Unit 1403
Company: Renovation Technologies
City: Jensen Beach State: LG-
Address: 21569 Batter Park Terrace
Zip Code: 34957 Fax:
City: Boca Raton State: FL
Phone No. 404-431-3028
Zip Code: 33428 Fax:
E-Mail: parker4774@bellsouth.net
Phone No 954-632-0698
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 CGC1522634
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION-, LIEN LAW INFORMATION
_ Not Applica
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
V"H YOUR Lg"DFR Oft AN ATTORNEY BEFORE RECORDING AOUR NOTICE OF„COMMENCEMENT."
re of
for owner I S(Rnature of
Holder
STATE OF FLORIDA STATE OF FLORID r
COUNTY OF S4 G,UC E' COUNTY OF Lo c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?_L day of ;IPLB44b2.4,— , 20 e-r by I this Zt day of Dewwlb-el , 20,&:( by
Name of person making -statement!
Personally Known f1ngOR Produced Identification
Type of Identification
Produced
(Signaifure of Notary Pu :' of
an+�3nAKoui��
i. N I c State of Florida
Commission / HH 028442
Commission No. °oFF:'` My
Corr(ifle0resAug 5, 2024
Bonded through National Notary Assn.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
of Notary
Commission No.
FIORPMQD JAMES NARBUTAS
Notary Public • State of F:orida
Co If HH 02/442
My Co% �ires Aug 5. 2024
ed through National Natari Assn.
S REVIEWOR I REVI W LANS I VEGETATIE EWON I SEEV EWLE I M E EWVE