HomeMy WebLinkAboutHopper Building Permit Application 020222All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEB 03,2022 Permit Number:
9�L Lurch
a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: MASTER BATH INTERIOR RENOVATIONS AND REPLACEMENT
WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 116 Queen Catherina CT. Hutchinson Island, FL 34949
Property Tax ID #: 1414-702-0016-000-4
Site Plan Name: HOPPER
Project Name: HOPPER RENO
DETAILED DESCRIPTION OF WORK:
Lot No. F
Block No. 22
REPLACE EXISTING WINDOWS LIKE FOR LIKE PER FLOOR PLAN
MASTER BATH RENO PER PLAN TO INCLUDE DEMO PLUMBING DRYWALL AND TILE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters
Electric XX Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 45,000.00
XX Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height;
OWNER/LESSEE:
CONTRACTOR:
Name TERRY& SUZANNE HOPPER
Name: JON R. JACKSON
Address: 116 Queen Catherina CT
Company: Seapointe Builders
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No. E-
Address: 117 Queen Ann CT
City: Hutchinson Island State:FL
Zip Code: 34949 Fax: N/A
Phone No 772-577-0166
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail seapointebuilders@comcast net
State or County License CBC 1258532
If valuq 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
EER: x Not Applica
Name:
Address-
City- State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF-,COMMEF#CEftENT.1#--------
Signature of Owner/ Le ee/ ontractor as Agent for Own r
ure of C tr r Li o der
STATE OF FLORIDA
STATE OF L 1DA
COUNTY OF
COUNTY L) ` E'
lling
The forgoing instrument was acknowledged before me
The forgo instrument was acknowledged before me
this ___W__ day of 20_ by
this __�L day of M R f?C W 20 by
C KS
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification !✓
Type of Identification
Type of Identification
Produced
Produced + LJec-% LiC-L--,v5
(Signature of Notary Public- State of Florida ]
(Signature of of Public- lorida EAL
.
Commisslon GG 356140
Commission No. (Seal)
Commission No. � Exj$"�Yomber17,2023
*Or
r8rnded TMv Budge Notary Serem
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z/7/19
J